Korean J Dermatol.  2002 Feb;40(2):215-217.

A Case of Fixed Cutaneous Type Sporotrichosis with Many Fungal Elements on Histopathologic Examination

Affiliations
  • 1Department of Dermatology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. derman@hanmir.com
  • 2Department of Clinical Pathology, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.

Abstract

We report a case of fixed cutaneous type sporotrichosis with atypical histopathologic findings in a 18-year-old male patient, who presented with a 1-year history of a 4x3 cm sized, crusted, erythematous plaque and several small erythematous papules on the left knee. The histopathologic findings showed pseudoepitheliomatous hyperplasia, abscess formation, chronic granulomatous inflammation and many PAS-positive fungal spores and hyphae in the dermis. Sporothrix schenckii was identified with fungal culture of biopsy specimen. The lesions improved with three pulses of itraconazole 400mg daily for a week per month.

Keyword

Sporotrichosis; Fixed cutaneous type

MeSH Terms

Abscess
Adolescent
Biopsy
Dermis
Humans
Hyperplasia
Hyphae
Inflammation
Itraconazole
Knee
Male
Spores, Fungal
Sporothrix
Sporotrichosis*
Itraconazole
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