{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T13:41:10Z","timestamp":1753882870990,"version":"3.41.2"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["SAGE Open Medical Case Reports"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p> A 58-year-old woman from Zimbabwe, with a history of untreated human immunodeficiency virus, presented with leonine facies and a diffuse rash. The rash occurred in the context of a 1-year history of constitutional symptoms and cognitive decline. Laboratory investigations confirmed that her human immunodeficiency virus had progressed to acquired immunodeficiency syndrome. Through imaging, tissue biopsies, and polymerase chain reaction, a diagnosis of disseminated histoplasmosis was made. Since there was no history of travel and histoplasmosis is not locally endemic, the patient likely contracted this fungal infection more than 7\u2009years ago, while living in Africa. We speculate that the histoplasmosis remained latent until her immune system began to decline. The work-up and management of this rare cutaneous presentation of a systemic disease, which should be added to the list of \u201cgreat mimickers\u201d in dermatology, are discussed. <\/jats:p>","DOI":"10.1177\/2050313x19829616","type":"journal-article","created":{"date-parts":[[2019,3,1]],"date-time":"2019-03-01T09:18:54Z","timestamp":1551431934000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An immigrant with acquired immunodeficiency syndrome presenting with a rash: A case report"],"prefix":"10.1177","volume":"7","author":[{"given":"Connie","family":"Zhang","sequence":"first","affiliation":[{"name":"Section of Dermatology, Department of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Megan A","family":"Sander","sequence":"additional","affiliation":[{"name":"Section of Dermatology, Department of Medicine, University of Calgary, Calgary, AB, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,1]]},"reference":[{"key":"bibr1-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.1016\/j.clindermatol.2012.01.004"},{"key":"bibr2-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pntd.0006046"},{"issue":"2","key":"bibr3-2050313X19829616","first-page":"68","volume":"40","author":"Guy R","year":"1949","journal-title":"Can J Public Health"},{"issue":"9","key":"bibr4-2050313X19829616","first-page":"855","volume":"77","author":"Haggar RA","year":"1957","journal-title":"Can Med Assoc J"},{"issue":"9","key":"bibr5-2050313X19829616","first-page":"413","volume":"57","author":"Rostocka M","year":"1966","journal-title":"Can J Public Health"},{"key":"bibr6-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.3201\/eid1201.051083"},{"key":"bibr7-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.1111\/ijd.12683"},{"key":"bibr8-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.1111\/cup.12792"},{"key":"bibr9-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.1016\/j.mycmed.2014.08.001"},{"key":"bibr10-2050313X19829616","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccm.2017.04.004"},{"issue":"3","key":"bibr11-2050313X19829616","first-page":"258","volume":"25","author":"da Silva Ferreira B","year":"2017","journal-title":"Infez Med"}],"container-title":["SAGE Open Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X19829616","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/2050313X19829616","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/2050313X19829616","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,28]],"date-time":"2025-02-28T13:36:56Z","timestamp":1740749816000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/2050313X19829616"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,1]]},"references-count":11,"alternative-id":["10.1177\/2050313X19829616"],"URL":"https:\/\/doi.org\/10.1177\/2050313x19829616","relation":{},"ISSN":["2050-313X","2050-313X"],"issn-type":[{"type":"print","value":"2050-313X"},{"type":"electronic","value":"2050-313X"}],"subject":[],"published":{"date-parts":[[2019,1]]},"article-number":"2050313X19829616"}}