title: Subcutaneous phaeohyphomycosis of the face presenting as rhinoentomophthoramycosis.
abstract: OBJECTIVE
  Subcutaneous phaeohyphomycosis is the most common variety of phaeohyphomycosis and presents as asymptomatic or mildly painful, localized cysts, abscesses, or sometimes chromoblastomycosis-like lesions over the feet, legs, or hands in about 60-85% of cases. It usually afflicts adults with some degree of immunosuppression.
  
  
  METHODS
  We report a 30-year-old man, who presented with features of recurrent sinusitis (episodes of fever, nasal stuffiness, paranasal sinus pain, and tenderness), mucosal hypertrophy of the maxillary sinuses, and mid-face swelling that was freely mobile and suggestive of rhinoentomophthoramycosis. He had no other associated illness.
  
  
  RESULTS
  Histology suggested tumid lupus erythematosus. The diagnosis was based on Fonsecaea pedrosoi cultured from a biopsy specimen.
  
  
  CONCLUSIONS
  Combination therapy with itraconazole and saturated solution of potassium iodide (SSKI) was more effective than itraconazole used alone.
authors.affiliation: Department of Dermatology, Dr. Rajendra Prasad Government Medical College, Kangra (Tanda), Himachal Pradesh, India. vkm1@rediffmail.com
authors.forename: Vikram K
authors.initials: VK
authors.lastname: Mahajan
authors.forename: Pushpinder S
authors.initials: PS
authors.lastname: Chauhan
authors.forename: Karaninder S
authors.initials: KS
authors.lastname: Mehta
authors.forename: C
authors.initials: C
authors.lastname: Abhinav
authors.forename: Vikas
authors.initials: V
authors.lastname: Sharma
authors.forename: Kamlesh
authors.initials: K
authors.lastname: Thakur
mesh_terms: D000328:Adult; D000935:Antifungal Agents / Q000627:therapeutic use; D001203:Ascomycota / Q000145:classification* / Q000302:isolation & purification*; D004359:Drug Therapy, Combination; D005148:Facial Dermatoses / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D009666:Nose / Q000382:microbiology; D009915:Orbit / Q000382:microbiology; D060446:Phaeohyphomycosis / Q000175:diagnosis* / Q000188:drug therapy; D011193:Potassium Iodide / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; D011193:Potassium Iodide; D017964:Itraconazole