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Chromoblastomycosis presenting as a phagedenic ulcer on the face
Kikkeri N Naveen1, Praveen C Shetty, Ashok S Naik
1Departments of Dermatology, Sri Dharmasthala Manjunatheshwara College of Medical Sciences & Hospital, Sattur, Dharwad 580009, India. naveenkn80@yahoo.com
Background:
Chromoblastomycosis is a chronic fungal infection which presents as a small ulcer, plaques, papulonodular lesion to cauliflower-like warty masses and cicatricial forms. The disease is relatively uncommon, with only a few published case report.
Methods:
A 35-year-old female presented with phagedenic ulcer on the face since 15 years. Examination identified a plaque with central perforation on the right side of the face with crusting and oozing and a scar at the periphery with visible underlying turbinates. A biopsy was done and sent for histopathologic examination and culture. Treatment was started with oral fluconazole, 150 mg daily orally, suspecting subcutaneous fungal infection.
Results:
Biopsy revealed branched, septate, brown-colored dematiaceous hypae in the dermis indicating chromoblastomycosis. Fungal culture revealed Fonsecaea pedrosoi. Patient responded well to treatment, and still she is on treatment.
Conclusions:
We believe that this is the first case report of chromoblastomycosis presenting as phagedenic ulcer.
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