Polymorphic ecthymatoid dermosporidiosis
1Department of Dermatology, Venereology and Leprosy, J.L.N Hospital and Research Center, Bhilai, Chhattisgarh, India. draghorpade@yahoo.com
Summary
This case study highlights polymorphic dermosporidiosis, a rare skin manifestation of Rhinosporidiosis, presenting as varied skin lesions. Early diagnosis and treatment are crucial for managing this nasal disease
Area of Science:
- Medical Mycology
- Dermatology
- Infectious Diseases
Background:
- Rhinosporidiosis is a chronic granulomatous disease caused by *Rhinosporidium seeberi*, typically affecting the nasal mucosa.
- Cutaneous manifestations, known as dermosporidiosis, are rare and often present with diverse clinical appearances.
Observation:
- A young male from Chhattisgarh presented with multiple subcutaneous nodules and an ecthymatoid skin lesion, alongside nasal rhinosporidiosis.
- The polymorphic nature of the skin lesions mimicked other dermatological conditions.
Findings:
- Diagnosis was confirmed via fine-needle aspiration cytology (FNAC), histopathology, and imprint smears, revealing *Rhinosporidium seeberi* sporangia with endospores.
- This case represents the second report of polymorphic dermosporidiosis and the first documenting an ecthymatoid lesion.
Implications:
- Dermatologists must recognize the varied cutaneous presentations of rhinosporidiosis to ensure timely diagnosis and treatment.
- Effective management involved surgical excision, electrocoagulation, and dapsone, with no observed recurrence.
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