Korean J Dermatol.  2002 Feb;40(2):174-177.

A Case of Chromomycosis Showing Ulcerative Lesions on Dorsa of Hands

Affiliations
  • 1Department of Dermatology, College of Medicine, Gyeongsang National University, Korea.
  • 2Department of Dermatology, College of Medicine, Dongguk University, Korea.
  • 3Department of Plastic Surgery, College of Medicine, Gyeongsang National University, Korea.
  • 4Department of Pathology, College of Medicine, Chungang University, Korea.

Abstract

Chromomycosis is a chronic mycosis of the skin and subcutaneous tissue characterized by a brown, thick-walled, round, nonbudding form of causative fungi in the tissue. We report a case of chromomycosis caused by Fonsecaea pedrosoi in a 56-year-old Korean woman who showed 3 x 4cm sized deep ulcerations on the dorsa of both hands. Histopathologically, chronic granulomatous inflammation and sclerotic cells were observed. Fonsecaea pedrosoi was grown into typical black colonies in fungus culture. She was treated with pedicle flap graft followed by oral itraconazole, and showed clinical improvement.

Keyword

Chromomycosis; Deep ulcerations; Pedicle flap graft

MeSH Terms

Chromoblastomycosis*
Female
Fungi
Hand*
Humans
Inflammation
Itraconazole
Middle Aged
Skin
Subcutaneous Tissue
Transplants
Ulcer*
Itraconazole
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