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Subcutaneous phaeohyphomycosis of the face presenting as rhinoentomophthoramycosis

Authors

  • Vikram K. Mahajan MD,

    Corresponding author
    • Departments of Dermatology, Venereology and Leprosy, Dr Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India
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  • Pushpinder S. Chauhan MD,

    1. Departments of Dermatology, Venereology and Leprosy, Dr Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India
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  • Karaninder S. Mehta MD,

    1. Departments of Dermatology, Venereology and Leprosy, Dr Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India
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  • C. Abhinav MBBS,

    1. Departments of Dermatology, Venereology and Leprosy, Dr Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India
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  • Vikas Sharma MBBS,

    1. Departments of Dermatology, Venereology and Leprosy, Dr Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India
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  • Kamlesh Thakur MD

    1. Departments of Microbiology, Dr Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India
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  • Conflicts of interest: None.
  • Funding: None.

Correspondence

Vikram K. Mahajan, md

Department of Dermatology, Venereology and Leprosy

Dr Rajendra Prasad Government Medical College

Kangra (Tanda), Himachal Pradesh 176001

India

E-mail: vkm1@rediffmail.com

Abstract

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 Fonsecaea 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.

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