Fixed Sporotrichosis on Nasal Bridge with Bilateral Lymphatic Involvement.
- Author:
Mie Soon PARK
;
Inn Ki CHUN
;
Young Pio KIM
- Publication Type:Case Report
- MeSH:
Biopsy;
Chin;
Fungi;
Humans;
Ketoconazole;
Male;
Middle Aged;
Physical Examination;
Potassium;
Skin;
Sporotrichosis*
- From:Korean Journal of Dermatology
1988;26(3):405-409
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We experienced 53-year-old male patient, who had an eczematous verrucous plaque measuring 6 x 4cm in diameter on the nasal bridge for 4 months. On physical examination, there was no abnormality except of palpable bean sized nodule on the left side of chin for 2 months. The overlying skin of the nodule is a quite normal appearance. The skin biopsy of the nodule showed the charact.eristic a.rrangement of the infiltrate in three zones. And the result of fungus culture of the thin tissue slice on Sabouraud media diagnosed fungal infection due to Sporotherix .schenkii. The treatment began with oral ketoconazole for 4 weeks, and the medication was interrupted for 2 weeks, because of no favorable effectiveness. On his revisit, a chain of painless nodules along lymphatics palpated on the right side of his f ace. We changed the therapy into saturated solution of potassium iodide(KI) with 0.25ml(5 drops) orally there times a day and was gradually increased administration of KI, And no side effects were noted. The patient was treated for a. total of 18 weeks, which included 6 weeks of treatment following clinical resolution.
