IADVL
Indexed with PubMed and Science Citation Index (E) 
 
Users online: 2034 
     Home | Feedback | Login 
About Current Issue Archive Ahead of print Search Instructions Online Submission Subscribe What's New Contact  
  Navigate here 
  Search
 
   Next article
   Previous article 
   Table of Contents
  
 Resource links
   Similar in PUBMED
    Search Pubmed for
    Search in Google Scholar for
  Related articles
   [PDF Not available] *
   Citation Manager
   Access Statistics
   Reader Comments
   Email Alert *
   Add to My List *
* Registration required (free)  

 
  In this article
   Abstract
   Introduction
   Case Report
   Comments
   References
   Article Figures

 Article Access Statistics
    Viewed2788    
    Printed46    
    Emailed0    
    PDF Downloaded0    
    Comments [Add]    
    Cited by others 4    

Recommend this journal

 


 
CASE REPORT
Year : 1993  |  Volume : 59  |  Issue : 3  |  Page : 125-126

Chromoblastomycosis resembling sporotrichosis




Correspondence Address:
Pradeep S Nair


Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

  Abstract 

A 21-year old man presented with multiple noduloulcerative lesions in a linear form resembling sporotrichosis. Histopathology showed the fungal bodies suggestive of chromoblastomycosis and the patient responded to potassium iodide therapy.


Keywords: Chromoblastomycosis, Sporotrichosis


How to cite this article:
Nair PS, Sarojini P A. Chromoblastomycosis resembling sporotrichosis. Indian J Dermatol Venereol Leprol 1993;59:125-6

How to cite this URL:
Nair PS, Sarojini P A. Chromoblastomycosis resembling sporotrichosis. Indian J Dermatol Venereol Leprol [serial online] 1993 [cited 2020 Jan 22];59:125-6. Available from: http://www.ijdvl.com/text.asp?1993/59/3/125/3905



  Introduction Top


Chromoblastomycosis can sometimes spread through superficial lymphatics. We report a case of chromoblastomycosis that clinically resembled sportrichosis.


  Case Report Top


A 21-year-old man working in Punjab presented with multiple discrete smooth soft nodules distributed in a linear form on the dorsum of the right hand and forearm of 1 year duration [Figure - 1]. There was no history of trauma. The initial lesions started on the radial aspect of the right index finger. Successive nodules appeared in a linear form one after the other within an interval of 1 to 2.5 months. Some nodules showed central crusting. The regional lymph nodes were not enlarged and there were no constitutional symptoms.

Slit skin smear did not show any fungal elements or Leishmann bodies. Fungal culture did not yield any growth.

Biopsy of the lesion showed irregular acanthosis of the epidermis. Dermis showed dense infiltrate of lymphocytes and a few epitheloid cells. Brownish thick-walled spherical bodies with a split-pea appearance were seen in the infiltrate suggesting chromoblastomycosis.

The patient was treated with a concentrated solution of potassium iodide in a dose of 3 drops thrice daily to start with and increased by one drop daily. After 2 weeks the patient showed dramatic response with decrease in the size of the lesions. After 4 weeks all lesions flattened and healed with slight atrophic scarring.


  Comments Top


Multiple discrete nodules starting on the finger and appearing on the proximal part successively in a linear form responding promptly to potassium iodide is suggestive of primary cutaneous sporotrichosis. We could not demonstrate the organism of Sporothrix schenckii and the demonstration of brownish spherical bodies with split-pea appearance in histopathology was in favour of a diagnosis of chromoblastomycosis.

Potassium iodide is also effective in chromoblastomycosis. [1] Chromoblastomycosis can spread through superficial lymphatics and cause such lesions. [2] Our case could be due to this type of spread through lymphatics.

 
  References Top

1.Sivakrishnaiah Naidu P, et al. Chromoblastomycosis. Ind J Dermatol Venereol Leprol, 1972; 38 : 78-82.  Back to cited text no. 1    
2.Lever WF, Lever GS. Histopathology of the Skin, 7th edn. Philadelphia : JB Lippinott, 1990; 376-8.  Back to cited text no. 2    


    Figures

[Figure - 1]

This article has been cited by
1 Safety and efficacy of oral potassium iodide in chromoblastomycosis
Narendranath, S., Sudhakar, G.K., Pai, M.R.S.M., Kini, H., Pinto, J.
International Journal of Dermatology. 2010; 49(3): 341-343
[Pubmed]
2 Verrucous growth on the toe
Mehta, V., Balachandran, C.
Medical Journal Armed Forces India. 2007; 63(3): 258+-291
[Pubmed]
3 Verrucous growth on leg
Mohanty, L., Mohanty, P., Padhi, T., Samantray, S.
Indian Journal of Dermatology, Venereology and Leprology. 2006; 72(5): 399-400
[Pubmed]
4 Chromoblastomycosis in India
Rajendran, C., Ramesh, V., Misra, R.S., Kandhari, S., Upreti, H.B., Datta, K.K.
International Journal of Dermatology. 1997; 36(1): 29-33
[Pubmed]



 

Top
Print this article  Email this article
Previous article Next article

    

Online since 15th March '04
Published by Wolters Kluwer - Medknow