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Subcutaneous phaeohyphomycosis of the face presenting as rhinoentomophthoramycosis
Author(s) -
Mahajan Vikram K.,
Chauhan Pushpinder S.,
Mehta Karaninder S.,
Abhinav C.,
Sharma Vikas,
Thakur Kamlesh
Publication year - 2013
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/ijd.12166
Subject(s) - medicine , phaeohyphomycosis , chromoblastomycosis , itraconazole , asymptomatic , sinusitis , dermatology , paranasal sinuses , sinus (botany) , nose , mycosis , surgery , pathology , antifungal , botany , biology , genus
Objectives 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. Methods 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. Results Histology suggested tumid lupus erythematosus. The diagnosis was based on F onsecaea pedrosoi cultured from a biopsy specimen. Conclusions Combination therapy with itraconazole and saturated solution of potassium iodide ( SSKI ) was more effective than itraconazole used alone.