Ann Dermatol.  2018 Apr;30(2):232-233. 10.5021/ad.2018.30.2.232.

A Case of Phaeohyphomycosis on the Wrist: Identification of Exophiala spinifera in Korea

• Lee WJ
• Eun DH
• Jang YH
• Lee SJ
• Bang YJ
• Jun JB

• KMID: 2414689
• DOI: http://doi.org/10.5021/ad.2018.30.2.232

Abstract

No abstract available.

MeSH Terms

Exophiala*
Korea*
Phaeohyphomycosis*
Wrist*

Figure

• 

  Fig. 1 (A) A solitary, tender, dark gray, scaly, verrucous plaque on the right wrist. (B) Dark-brownish yeast-like fungal elements, mixed inflammatory infiltrate, and granulomatous infiltrate in the dermis (H&E, ×400).

• 

  Fig. 2 (A) Yeast-like fungal elements with pseudohyphae on KOH preparation (Parker ink stain). (B) Dark black, velvety colony on fungal culture.

Reference

1. Harris JE, Sutton DA, Rubin A, Wickes B, De Hoog GS, Kovarik C. Exophiala spinifera as a cause of cutaneous phaeohyphomycosis: case study and review of the literature. Med Mycol. 2009; 47:87–93.

2. Vitale RG, de Hoog GS. Molecular diversity, new species and antifungal susceptibilities in the Exophiala spinifera clade. Med Mycol. 2002; 40:545–556.

3. Kawasaki M, Anzawa K, Tanabe H, Mochizuki T, Ishizaki H, Nishimura K. Intra-species variation of genotypes of Exophiala jeanselmei isolated from patients in Japan. Nihon Ishinkin Gakkai Zasshi. 2005; 46:261–265.

4. Suh MK, Lee HC, Kim DM, Ha GY, Choi JS. Molecular phylogenetics of exophiala species isolated from Korea. Ann Dermatol. 2012; 24:287–294.

5. Matsumoto T, Padhye AA, Ajello L. Medical significance of the so-called black yeasts. Eur J Epidemiol. 1987; 3:87–95.