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Contributor

Rakhesh SV, MD

Diagnosis

chromoblastomycosis fungal infection, deep

Body Site

hand

Age

55 years

Pigmentation

medium

Organization

warty

Color

purple

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

solitary

Comments

This 55-year-old diabetic woman had a well defined erythematous and verrucuous plaque on the top of her right hand for 15 years. She had a history of a penetrating injury by a wooden splinter at the site 15-16 years ago. On closer examination, the surface of the plaque showed a few pigmented specks (transepidermal elimination). Potassium hydroxicde 10 percent examination of the scraping from the pigmented specks showed golden-yellow coloured septate spherical bodies (sclerotic bodies or medlar bodies or copper penny bodies). Chromoblastomycosis is chronic granulomatous infection, usually of the exposed areas of the body, caused by a variety of dematiaceous (brown-pigmented) fungi. The principal etilogical agent isolated in India is Fonsacea pedrosoi.

Description

well defined violaceous verrucuous plaque

Categories

infections and infestations

Image Added

1/24/2005 22:32:06

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Other Resources

PubMed Medline Plus Medscape

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