Figure 1. A) Multiple, confluent, keloid-like, hyperchromic nodules with flat shiny surfaces involving the entire free border, posterior aspect, and lobule of the left ear of a fisherman, Venezuela. B) Numerous Lacazia loboi tissue-phase organisms within the stroma. Note the typical chain pattern showing simple gemation budding (Gomori-Grocott stain, magnification ×100). C) Yeast cells showing typical double refraction of the membrane and protoplasmic bodies within cells (periodic acid–Schiff stain, magnification ×600).