A Case of Lymphocutaneous Sporotrichosis with Unusual Clinical Features.
- Author:
Yang Hoon CHO
1
;
Mu Hyoung LEE
;
Woo Young SIM
;
Choong Rim HAW
Author Information
1. Department of Dermatology, College of Medicinem, Kyung-Hee University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Sporotrichosis;
Bilateral;
Psoriasiform plaque
- MeSH:
Biopsy;
Dermis;
Hand;
Humans;
Inflammation;
Male;
Middle Aged;
Spores, Fungal;
Sporothrix;
Sporotrichosis*;
Ulcer;
Upper Extremity
- From:Korean Journal of Dermatology
1996;34(4):660-663
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of lymphocutaneous sporotrichosis with unusual clinical features in a 62-year-old male patient, who presented with a painless, well-defined psoriasiform plaque and central ulceration on the dorsam of the right hand which progressively spread into the lymphatics draining area. The fully matared lesions produced a chain of firm. mild prickling subcutaneous nodules on both upper extremities probably due to autoinoculation. The biopsy specimen of the lesion showed hyperkeratosis with chronic granulomatous inflammation and PAS-positive fungal spores in the dermis. Sporothrix schenckii was identified using a fungal culture of tissue specimen. The lesions improved with treatment of a topical antifungal agent and KI solution at the dose of 2 g/day for 1 month, but returned to initial cutaneous manifestation due to the patient failing to the treatment.
