A case of atypical sporotrichosis with multifocal cutaneous ulcers.
We report an atypical case of sporotrichosis in an elderly woman working as a horticulturist, who presented with multiple ulcers and nodules on the face and the right upper back. Histological examination found numerous small yeast-like spores in the granulomatous reaction in the upper dermis. Culture and DNA analysis identified Sporothrix schenckii, group B. Misuse of topical steroids and self-inoculation may have caused the atypical features found in this patient.
Fujii
H
H
Department of Dermatology, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Tanioka
M
M
Yonezawa
M
M
Arakawa
A
A
Matsumura
Y
Y
Kore-eda
S
S
Miyachi
Y
Y
Tanaka
S
S
Mochizuki
T
T
D000287:Administration, Topical; D000305:Adrenal Cortex Hormones / Q000009:adverse effects; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011193:Potassium Iodide / Q000627:therapeutic use; D012883:Skin Ulcer / Q000382:microbiology / Q000473:pathology*; D013175:Sporothrix / Q000187:drug effects / Q000472:pathogenicity; D013174:Sporotrichosis / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D016896:Treatment Outcome
D000305:Adrenal Cortex Hormones; D011193:Potassium Iodide