Chromoblastomycosis mimicking Squamous Cell Carcinoma: a case report

Authors

  • BMM Kayastha Associate Professor and Senior Consultant Dermatologist, Department of Dermatology and STD National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu
  • R Shrestha Resident, Department of Dermatology and STD National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu
  • Pan Shrestha Resident, Department of Dermatology and STD National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu
  • A Karki Resident, Department of Dermatology and STD National Academy of Medical Sciences (NAMS), Bir Hospital, Kathmandu

DOI:

https://doi.org/10.3126/njdvl.v8i1.5714

Keywords:

Chromoblastomycosis

Abstract

Chromoblastomycosis (CM), a chronic subcutaneous mycosis, is caused by several dematiaceous fungi, the most common being Fonsecaea pedrosoi . It usually occurs in the lower extremities following traumatic implantation of the organisms. We are reporting a case of rapidly developing case of CM on the unilateral lower limb with a fungating mass like ulcerative lesion and hyperkeratotic warty growth. We could not explain the pattern of this rapid growth which seems to be one of the rare presentations. Scraping from a verrucous lesion in potassium hydroxide preparation revealed mycelia arising from sclerotic bodies The histopathology from the warty lesion showed granulomatous lesion without muriform or medlar bodies. The histopathology from the ulcerative lesion did not show any malignant changes. Our case responded very well to itraconazole. This case is presented here for the rapidity of growth and the development of a fungating mass and bleeding that simulated the behaviour of squamous cell carcinoma.

DOI: http://dx.doi.org/10.3126/njdvl.v8i1.5714  

Nepal Journal of Dermatology, Venereology & Leprology 8(1) 2009 22-26

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How to Cite

Kayastha, B., Shrestha, R., Shrestha, P., & Karki, A. (2012). Chromoblastomycosis mimicking Squamous Cell Carcinoma: a case report. Nepal Journal of Dermatology, Venereology &Amp; Leprology, 8(1), 22–26. https://doi.org/10.3126/njdvl.v8i1.5714

Issue

Vol. 8 No. 1 (2009)

Section

Case Reports

License

Copyright on any research article is transferred in full to Nepal Journal of Dermatology, Venereology & Leprology upon publication.  The copyright transfer includes the right to reproduce and distribute the article in any form of reproduction (printing, electronic media or any other form).