Abstract :
Cutaneous chromoblastomycosis is a chronic fungal infection that affects the subcutaneous tissue, caused by pigmented fungi, mainly from the genera Fonsecaea, Phialophora, and Cladophialophora. Although it typically targets the skin, it can also involve other organs such as the lungs, intestines, stomach, and even the brain. Lower extremities and hands remains the most common sites of predilection clinically, lesion can be flat, raised papule, ulcerated or plaque like. Most of the cases are prevalent in the tropics and subtropics among people who are in close contact with soil, as the fungi can be present in soil and rotten vegetable matter as well. In cases of cutaneous chromoblastomycosis with milder clinical features a short course of itraconazole is found to be effective. The present case is of a 76 year old female presented with an annular plaque on left upper arm. The diagnosis was confirmed by visualizing pathogonomic sclerotic bodies on histopathological examination. Patient was treated with Tab.Itraconazole 200 mg once daily for 2 weeks and was symptomatically better.
Keyword :
Pigmented fungi, Sclerotic bodies, Itraconazole.