Fungal Infection, Deep, Chromoblastomycosis - DermAtlas

Contributor

Sugathan Paramoo, MD, FRCP(Glasg)

Diagnosis

fungal infection, deep chromoblastomycosis

Body Site

shin leg

Age

67 years

Pigmentation

medium

Organization

confluent

Color

purple red

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

solitary

Comments

This 67 year old man, whose pemphigus was under control following parenteral pulse steriod treatment and 2 years of oral steroid maintenance, developed a a fungating growth on his right shin following a minor injury to his leg while walking in a wooded area near his home. Culture of tissue obtained from a skin biopsy revealed chromoblastomycosis (probably Phialphora species). He was treated with itraconazole 100 mg twice daily for 3 months.

Description

4 cm ulcerated crusted hemorrhagic purple plaque

Image Added

11/27/2005 15:15:37

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Other Resources

PubMed Medline Plus Medscape

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