Subcutaneous phaeohyphomycosis of the face presenting as rhinoentomophthoramycosis. (8th July 2013)

• Record Type: Journal Article
• Authors: Mahajan, Vikram K.; Chauhan, Pushpinder S.; Mehta, Karaninder S.; Abhinav, C.; Sharma, Vikas; Thakur, Kamlesh
• Is Part Of: International journal of dermatology. Volume 52:Number 9(2013:Sep.)
• Page Start: 1105
• Page End: 1108
• Publication Date: 2013-07-08
• Subjects: Dermatology -- Periodicals; 616.5
• DOI: 10.1111/ijd.12166
• Languages: English
• ISSNs: 0011-9059

Abstract

<abstract abstract-type="main" id="ijd12166-abs-0001"> <title>Abstract</title> <sec id="ijd12166-sec-0001" sec-type="section"> <title>Objectives</title> <p>Subcutaneous phaeohyphomycosis is the most common variety of phaeohyphomycosis and presents as asymptomatic or mildly painful, localized cysts, abscesses, or sometimes chromoblastomycosis‐like lesions over the feet, legs, or hands in about 60–85% of cases. It usually afflicts adults with some degree of immunosuppression.</p> </sec> <sec id="ijd12166-sec-0002" sec-type="section"> <title>Methods</title> <p>We report a 30‐year‐old man, who presented with features of recurrent sinusitis (episodes of fever, nasal stuffiness, paranasal sinus pain, and tenderness), mucosal hypertrophy of the maxillary sinuses, and mid‐face swelling that was freely mobile and suggestive of rhinoentomophthoramycosis. He had no other associated illness.</p> </sec> <sec id="ijd12166-sec-0003" sec-type="section"> <title>Results</title> <p>Histology suggested tumid lupus erythematosus. The diagnosis was based on <italic>Fonsecaea pedrosoi</italic> cultured from a biopsy specimen.</p> </sec> <sec id="ijd12166-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Combination therapy with itraconazole and saturated solution of potassium iodide (SSKI) was more effective than itraconazole used alone.</p> </sec> </abstract>