Conflicts of interest: None.
Tropical Medicine Rounds
Subcutaneous phaeohyphomycosis of the face presenting as rhinoentomophthoramycosis
Article first published online: 8 JUL 2013
© 2013 The International Society of Dermatology
International Journal of Dermatology
Volume 52, Issue 9, pages 1105–1108, September 2013
How to Cite
Mahajan, V. K., Chauhan, P. S., Mehta, K. S., Abhinav, C., Sharma, V. and Thakur, K. (2013), Subcutaneous phaeohyphomycosis of the face presenting as rhinoentomophthoramycosis. International Journal of Dermatology, 52: 1105–1108. doi: 10.1111/ijd.12166
- Issue published online: 21 AUG 2013
- Article first published online: 8 JUL 2013
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.
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.
Histology suggested tumid lupus erythematosus. The diagnosis was based on Fonsecaea pedrosoi cultured from a biopsy specimen.
Combination therapy with itraconazole and saturated solution of potassium iodide (SSKI) was more effective than itraconazole used alone.