Korean J Med Mycol.
2014 Dec;19(4):110-114.
Majocchi's Granuloma Arising in Previous Burn Area
- Affiliations
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- 1Department of Dermatology, Chonnam National University Medical School, Gwangju, Korea. yhwon@chonnam.ac.kr
Abstract
- Majocchi's granuloma is deep dermatophyte infections rarely form ulceration, nodules and abscesses and usually occur in immunocompromised patients. Although progression of deep dermatophytosis may be induced by the use of topical or systemic steroids, immunosuppression may not be found in some cases. We report a case of Majocchi's granuloma arising in previous burn area, who had pruritic erythematous macules, patches and papules on the left forearm for 7 months. KOH mount was negative. Histopathological examination showed granulomatous reaction and numerous hyphae and spore in the dermis, and the organism was identified as Trichophyton rubrum on tissue culture. The patient was treated with 2 times of itraconazole pulse therapy and then terbinafine (250 mg/day) for 4 weeks, resulting in the clearing of the lesion.
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