Four Cases of Majocchi's granuloma.
- Author:
Jae Ho CHONG
1
;
Min Young YOU
;
Seok Kweon YUN
;
Han Uk KIM
Author Information
1. Department of Dermatology, Chonbuk University Medical School, Chonju, South Korea. demayun@moak.chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Dermatophytic granuloma;
T. mentagrophytes;
T. rubrum
- MeSH:
Administration, Oral;
Arthrodermataceae;
Dermis;
Diabetes Mellitus;
Epidermis;
Fungi;
Granuloma*;
Humans;
Inflammation;
Itraconazole;
Lower Extremity;
Lymphoma;
Skin
- From:Korean Journal of Medical Mycology
2001;6(1):37-41
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Dermatophytes usually do not invade beyond the epidermis. However mechanical breakage of the skin resulting from scratching or trauma and immunocompromised state, such as diabetes mellitus, lymphoma, and long-term steroid use may allow penetration of the fungi into reticular dermis. Cutaneous granulomas produced by infection with superficial fungi are infrequently recognized. We report four cases of dermatophytic granuloma on the lower extremities. Histopathologic examinations of the skin lesions of four patients showed chronic granulomatous inflammation with fungal elements. Cultures of Sabouraud's media with excised tissue revealed Trichophyton(T.) rubrum in two patients and T. mentagrophytes in one patient. The patients were treated with oral administration of terbinafine or itraconazole for 2-4 weeks.