A Case of Majocchi's Granuloma.
- Author:
Young Chan SONG
1
;
Sang Hee LIM
;
Yang Won LEE
;
Yong Beom CHOE
;
Kyu Joong AHN
Author Information
1. Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea. kjahn@kuh.ac.kr
- Publication Type:Case Report
- Keywords:
Dermatophytosis;
Majocchi's granuloma;
Face
- MeSH:
Aged;
Arthrodermataceae;
Cheek;
Dermis;
Epidermis;
Female;
Fungi;
Giant Cells;
Granuloma*;
Humans;
Hyphae;
Inflammation;
Subcutaneous Tissue;
Tinea
- From:Korean Journal of Medical Mycology
2007;12(1):23-26
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Majocchi's granuloma is a well recognized but uncommon infection of dermal and subcutaneous tissue by fungal organisms usually limited to the superficial epidermis. The organism usually associated with Majocchi's granuloma is Trichophyton(T.) rubrum, however, other dermatophytes may be the causative agent. We presented a 74-year-old female who had a well defined erythematous nodular plaque on her right cheek for 1 month. Histopathologic findings was consistent with the Majocchi's granuloma, showing perifolliculitis and granulomatous inflammation in dermis. Many fungal elements were noted in the follicular keratin plug and giant cells in the granulomatous inflammation of the perifollicular dermis in the H & E stain. But no fungal hyphae was noted in horny layer of the epidermis and a culture for the fungus was failed. The cutaneous lesion treated with terbinafine (Lamisil(R)) 250 mg and lanoconazole cream daily with cured one month later.
