Clemente-Ruiz AA, Serrano FC, Serrano FMM, Burkhardt PP, Naranjo SR

Language: Spanish
References: 13
Page: 193-196
PDF size: 195.37 Kb.

ABSTRACT

Majocchi´s granuloma is a rare but well known dermatophytosis, usually caused by Trichophyton species. We report a case of a 56-year-old man who had a 3-year-evolution plaque in his forearm, asympthomatic, which had been growing up progressively. During this time he had been treated with topical clobetasol, with no resolution, and two skin biopsies were performed, with no histopathological diagnosis. With clinical diagnosis of tinea incognito, local cultures and a new skin biopsy were performed, and we started treatment with oral griseofulvine, with complete remission of the disease in 6 weeks time. Majocchi´s granuloma was the histopathologic diagnosis and cultures proved the infection with Trichophyton verrucosum. Althoug most cases of Majocchi´s granuloma have been reported in lower legs of young women with local trauma such us depilation, nowadays more and more cases are being reported with unusual clinical presentations, and it is more common to see such cases showing as a tinea incognito because of previous use of topical corticosteroids.

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