title: Chromoblastomycosis presenting as a phagedenic ulcer on the face.
abstract: BACKGROUND
  Chromoblastomycosis is a chronic fungal infection which presents as a small ulcer, plaques, papulonodular lesion to cauliflower-like warty masses and cicatricial forms. The disease is relatively uncommon, with only a few published case report.
  
  
  METHODS
  A 35-year-old female presented with phagedenic ulcer on the face since 15 years. Examination identified a plaque with central perforation on the right side of the face with crusting and oozing and a scar at the periphery with visible underlying turbinates. A biopsy was done and sent for histopathologic examination and culture. Treatment was started with oral fluconazole, 150 mg daily orally, suspecting subcutaneous fungal infection.
  
  
  RESULTS
  Biopsy revealed branched, septate, brown-colored dematiaceous hypae in the dermis indicating chromoblastomycosis. Fungal culture revealed Fonsecaea pedrosoi. Patient responded well to treatment, and still she is on treatment.
  
  
  CONCLUSIONS
  We believe that this is the first case report of chromoblastomycosis presenting as phagedenic ulcer.
authors.affiliation: Departments of Dermatology, Sri Dharmasthala Manjunatheshwara College of Medical Sciences & Hospital, Sattur, Dharwad 580009, India. naveenkn80@yahoo.com
authors.forename: Kikkeri N
authors.initials: KN
authors.lastname: Naveen
authors.forename: Praveen C
authors.initials: PC
authors.lastname: Shetty
authors.forename: Ashok S
authors.initials: AS
authors.lastname: Naik
authors.forename: Varadraj V
authors.initials: VV
authors.lastname: Pai
authors.forename: Keloji
authors.initials: K
authors.lastname: Hanumanthayya
authors.forename: Dinesh
authors.initials: D
authors.lastname: Udupishastry
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota; D002862:Chromoblastomycosis / Q000150:complications / Q000188:drug therapy* / Q000382:microbiology / Q000473:pathology*; D005145:Face; D005260:Female; D015725:Fluconazole / Q000627:therapeutic use; D006801:Humans; D012883:Skin Ulcer / Q000382:microbiology / Q000473:pathology*
chemical_list: D000935:Antifungal Agents; D015725:Fluconazole