Korean J Med Mycol.  2015 Jun;20(2):47-52. 10.17966/KJMM.2015.20.2.47.

Cutaneous Tumor-like Majocchi's Granuloma of the Face in the Immunocompetent Patient: a Case Report and Review of the Literature

Affiliations
  • 1Department of Dermatology, Eulji Medical Center, Eulji University, College of Medicine, Seoul, Korea. euljiderma@gmail.com

Abstract

We report a case of Majocchi's granuloma in a 71-year-old immunocompetent male patient, who presented with a 6-month history of mass with multiple erythematous nodules and indurated plaques with scale on the left cheek. Even though the lesion strongly suggested cutaneous tumor, the histopathologic findings were consistent with the Majocchi's granuloma, showing numerous hyphae, perifolliculitis and granulomatous inflammation with central abscess formation in the dermis. Trichophyton rubrum was isolated from the biopsy specimen fungus culture. The cutaneous lesion was treated with oral administration of itraconazole (200 mg/day) and topical lanoconazole cream for 4 weeks, and successfully treated.

Keyword

Majocchi's Granuloma; Trichophyton rubrum

MeSH Terms

Abscess
Administration, Oral
Aged
Biopsy
Cheek
Dermis
Fungi
Granuloma*
Humans
Hyphae
Inflammation
Itraconazole
Male
Trichophyton
Itraconazole
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