{"id":"https://openalex.org/W7225193201","doi":"https://doi.org/10.7759/cureus.119019","title":"Palmar Rash in a Patient With Valley Fever Pneumonia: A Diagnostic Challenge","display_name":"Palmar Rash in a Patient With Valley Fever Pneumonia: A Diagnostic Challenge","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225193201","doi":"https://doi.org/10.7759/cureus.119019"},"language":"en","primary_location":{"id":"doi:10.7759/cureus.119019","doi":"https://doi.org/10.7759/cureus.119019","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119019","pdf_url":"https://www.cureus.com/articles/416350-palmar-rash-in-a-patient-with-valley-fever-pneumonia-a-diagnostic-challenge.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.cureus.com/articles/416350-palmar-rash-in-a-patient-with-valley-fever-pneumonia-a-diagnostic-challenge.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160453151","display_name":"Rachel Lowe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114493937","display_name":"Creighton University","ror":"https://ror.org/05wf30g94","country_code":"US","type":"education","lineage":["https://openalex.org/I114493937"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rachel Lowe","raw_affiliation_strings":[". Family Medicine Residency Program , Creighton University East Valley Arizona , Gilbert , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Family Medicine Residency Program , Creighton University East Valley Arizona , Gilbert , USA","institution_ids":["https://openalex.org/I114493937"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5079734228","display_name":"Jennifer Blackwood","orcid":"https://orcid.org/0000-0003-1514-2186","observed_orcids":["https://orcid.org/0000-0003-1514-2186"]},"institutions":[{"id":"https://openalex.org/I114493937","display_name":"Creighton University","ror":"https://ror.org/05wf30g94","country_code":"US","type":"education","lineage":["https://openalex.org/I114493937"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Jennifer Blackwood","raw_affiliation_strings":[". Family Medicine Residency Program , Creighton University East Valley Arizona , Gilbert , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Family Medicine Residency Program , Creighton University East Valley Arizona , Gilbert , USA","institution_ids":["https://openalex.org/I114493937"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160536495","display_name":"Muheema Husain","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114493937","display_name":"Creighton University","ror":"https://ror.org/05wf30g94","country_code":"US","type":"education","lineage":["https://openalex.org/I114493937"]},{"id":"https://openalex.org/I2802827176","display_name":"Dignity Health","ror":"https://ror.org/05c9r4685","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Muheema Husain","raw_affiliation_strings":[". Family Medicine , Dignity Health Medical Group , Gilbert , USA",". Family and Community Medicine , Creighton University School of Medicine , Phoenix , Phoenix , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Family Medicine , Dignity Health Medical Group , Gilbert , USA","institution_ids":["https://openalex.org/I2802827176"]},{"raw_affiliation_string":". Family and Community Medicine , Creighton University School of Medicine , Phoenix , Phoenix , USA","institution_ids":["https://openalex.org/I114493937"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070873679","display_name":"Benjamin Ihms","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802827176","display_name":"Dignity Health","ror":"https://ror.org/05c9r4685","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Benjamin Ihms","raw_affiliation_strings":[". Department of Family Medicine , Dignity Health East Valley Family Medicine Residency Program , Gilbert , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Department of Family Medicine , Dignity Health East Valley Family Medicine Residency Program , Gilbert , USA","institution_ids":["https://openalex.org/I2802827176"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5160494295","display_name":"Vidhya  L Kumbera","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802827176","display_name":"Dignity Health","ror":"https://ror.org/05c9r4685","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I2802827176"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Vidhya  L Kumbera","raw_affiliation_strings":[". Department of Family Medicine , Dignity Health East Valley Family Medicine Residency Program , Gilbert , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Department of Family Medicine , Dignity Health East Valley Family Medicine Residency Program , Gilbert , USA","institution_ids":["https://openalex.org/I2802827176"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5157476855","display_name":"Dr. Abdul Waheed","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I114493937","display_name":"Creighton University","ror":"https://ror.org/05wf30g94","country_code":"US","type":"education","lineage":["https://openalex.org/I114493937"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Abdul Waheed","raw_affiliation_strings":[". Family Medicine Residency Program , Creighton University East Valley Arizona , Gilbert , USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":". Family Medicine Residency Program , Creighton University East Valley Arizona , Gilbert , USA","institution_ids":["https://openalex.org/I114493937"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.86089305,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11037","display_name":"Fungal Infections and Studies","score":0.9980000257492065,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10150","display_name":"Antifungal resistance and susceptibility","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2725","display_name":"Infectious Diseases"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12796","display_name":"Dermatological and COVID-19 studies","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2708","display_name":"Dermatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/coccidioidomycosis","display_name":"coccidioidomycosis","score":0.9769999980926514},{"id":"https://openalex.org/keywords/pulmonary-coccidioidomycosis","display_name":"pulmonary coccidioidomycosis","score":0.9449999928474426},{"id":"https://openalex.org/keywords/palmar-erythema","display_name":"palmar erythema","score":0.953000009059906},{"id":"https://openalex.org/keywords/drug-induced-skin-reaction","display_name":"drug-induced skin reaction","score":0.6389999985694885},{"id":"https://openalex.org/keywords/fluconazole","display_name":"fluconazole","score":0.859000027179718},{"id":"https://openalex.org/keywords/antifungal-therapy-adverse-effects","display_name":"antifungal therapy adverse effects","score":0.7129999995231628},{"id":"https://openalex.org/keywords/paradoxical-reaction","display_name":"paradoxical reaction","score":0.847000002861023},{"id":"https://openalex.org/keywords/corticosteroid-therapy","display_name":"corticosteroid therapy","score":0.7509999871253967}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9817000031471252},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.7281000018119812},{"id":"https://openalex.org/C2778570526","wikidata":"https://www.wikidata.org/wiki/Q653197","display_name":"Rash","level":2,"score":0.6908000111579895},{"id":"https://openalex.org/C2780651595","wikidata":"https://www.wikidata.org/wiki/Q411478","display_name":"Fluconazole","level":3,"score":0.5945000052452087},{"id":"https://openalex.org/C2779121184","wikidata":"https://www.wikidata.org/wiki/Q1166142","display_name":"Erythema","level":2,"score":0.5060999989509583},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.42649999260902405},{"id":"https://openalex.org/C2779548794","wikidata":"https://www.wikidata.org/wiki/Q578726","display_name":"Antifungal","level":2,"score":0.32580000162124634},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.3239000141620636},{"id":"https://openalex.org/C2779701055","wikidata":"https://www.wikidata.org/wiki/Q929833","display_name":"Rare disease","level":3,"score":0.25999999046325684},{"id":"https://openalex.org/C2780318139","wikidata":"https://www.wikidata.org/wiki/Q627625","display_name":"Histoplasmosis","level":2,"score":0.25839999318122864},{"id":"https://openalex.org/C2780908437","wikidata":"https://www.wikidata.org/wiki/Q464067","display_name":"Mycosis","level":2,"score":0.25679999589920044}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.7759/cureus.119019","doi":"https://doi.org/10.7759/cureus.119019","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119019","pdf_url":"https://www.cureus.com/articles/416350-palmar-rash-in-a-patient-with-valley-fever-pneumonia-a-diagnostic-challenge.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.7759/cureus.119019","doi":"https://doi.org/10.7759/cureus.119019","is_oa":true,"landing_page_url":"https://doi.org/10.7759/cureus.119019","pdf_url":"https://www.cureus.com/articles/416350-palmar-rash-in-a-patient-with-valley-fever-pneumonia-a-diagnostic-challenge.pdf","source":{"id":"https://openalex.org/S2738950867","display_name":"Cureus","issn_l":"2168-8184","issn":["2168-8184"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-20","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310316779","host_organization_name":"Cureus, Inc.","host_organization_lineage":["https://openalex.org/P4310316779"],"host_organization_lineage_names":["Cureus, Inc."],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cureus","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.9763000011444092}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225193201.pdf","grobid_xml":"https://content.openalex.org/works/W7225193201.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W1985760897","https://openalex.org/W2013871628","https://openalex.org/W2018830874","https://openalex.org/W2021889702","https://openalex.org/W2034103600","https://openalex.org/W2074678059","https://openalex.org/W2139879718","https://openalex.org/W2169510876","https://openalex.org/W2192593918","https://openalex.org/W2320270386","https://openalex.org/W2396772651","https://openalex.org/W2570938039","https://openalex.org/W2888487447","https://openalex.org/W4245220612"],"related_works":["https://openalex.org/W2169510876","https://openalex.org/W4251508431","https://openalex.org/W2732804492","https://openalex.org/W4412572742","https://openalex.org/W4394674495","https://openalex.org/W4243133608","https://openalex.org/W1413335943","https://openalex.org/W7129467724","https://openalex.org/W2138786620","https://openalex.org/W4389521875"],"abstract_inverted_index":{"Coccidioidomycosis,":[0],"also":[1,27],"known":[2],"as":[3,102],"Valley":[4],"Fever,":[5],"is":[6],"a":[7,60,71,84,103],"fungal":[8],"infection":[9],"endemic":[10],"to":[11],"the":[12,16,51,91,107],"southwestern":[13],"United":[14],"States.While":[15],"disease":[17],"typically":[18],"presents":[19],"with":[20,42,80],"limited":[21],"pulmonary":[22,48,97],"symptoms,":[23],"extrapulmonary":[24],"symptoms":[25],"can":[26],"be":[28],"present.In":[29],"this":[30],"case,":[31],"an":[32],"84-year-old":[33],"female":[34],"developed":[35],"palmar":[36,55,87],"erythema":[37,56],"following":[38,70],"initiation":[39,64,92],"of":[40,46,65,74,78,93,110],"treatment":[41,79],"fluconazole":[43],"for":[44,96],"management":[45],"symptomatic":[47],"Coccidioidomycosis.On":[49],"exam,":[50],"patient":[52],"had":[53],"bilateral":[54],"that":[57],"began":[58],"improving":[59],"few":[61],"weeks":[62],"after":[63,90],"treatment.It":[66],"was":[67],"ultimately":[68],"resolved":[69],"short":[72],"course":[73],"steroids":[75],"and":[76,106],"completion":[77],"fluconazole.This":[81],"case":[82],"illustrates":[83],"rare,":[85],"reactive":[86,113],"eruption":[88],"occurring":[89],"antifungal":[94],"therapy":[95],"coccidioidomycosis,":[98],"underscoring":[99],"its":[100],"role":[101],"great":[104],"mimicker":[105],"diagnostic":[108],"challenge":[109],"paradoxical":[111],"or":[112],"phenomena":[114],"during":[115],"treatment.":[116]},"counts_by_year":[],"updated_date":"2026-11-05T12:25:35.769452","created_date":"2026-11-04T00:00:00"}
