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Revista argentina de dermatología

On-line version ISSN 1851-300X

Abstract

RUSSO, J P; RAFTI, P  and  MESTRONI, S. Subcutaneous Phaeohyphomycosis. Rev. argent. dermatol. [online]. 2009, vol.90, n.1, pp.64-70. ISSN 1851-300X.

In this case we have examined a young male immunocompetent patient suffering from subcutaneous phaeohyphomycosis on his right forearm. Upon questioning, the patient did not express having noticed any previous traumatism. Physical examination revealed suppurative nodular lesions which, in the histologic study, showed severe granulomatous inflammation along with fibrotic tissue and necrosis. We carried out the corresponding cultures, the results of which was Exophila dermatitidis, and subcutaneous phaeohyphomycosis was diagnosed. The treatment of choice consisted in itraconazole and a surgical procedure to remove the lesion. Six months after the procedure, we have found no sings of the disease.

Keywords : Subcutaneous phaeohyphomycosis; Exophiala; Itraconazole.

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