title: Majocchi granuloma in a pregnant woman.
abstract: BACKGROUND
  Majocchi granuloma is a cutaneous dermatophyte infection of the dermal and subcutaneous tissues characterized by chronic erythematous and indurated plaques, which are almost always the result of immunodeficiency and trauma.
  
  
  METHODS
  Disseminated dermatophyte Majocchi granuloma was diagnosed in a 19-year-old woman at 32 weeks of gestation and had no history of trauma or chronic illness. She was treated with topical antifungal medications until delivery, at which time systemic medications were started. The skin lesions resolved by the time of her 6-week postpartum visit.
  
  
  CONCLUSIONS
  The altered immune state of pregnancy suggests that Majocchi granuloma should occur with some regularity in pregnancy. That this case is the second one described in the literature suggests that it may be underdiagnosed. Punch biopsy should be considered for diagnosis of unusual skin lesions during pregnancy.
authors.affiliation: Departments of Dermatology, the First People's Hospital of Shunde, Foshan, and Zhujiang Hospital, Guangzhou, China.
authors.forename: Ruihua
authors.initials: R
authors.lastname: Wang
authors.forename: Yong
authors.initials: Y
authors.lastname: Hu
authors.forename: Hongfeng
authors.initials: H
authors.lastname: Tang
authors.forename: Tangde
authors.initials: T
authors.lastname: Zhang
mesh_terms: D000935:Antifungal Agents / Q000008:administration & dosage; D003881:Dermatomycoses / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D005260:Female; D006801:Humans; D007093:Imidazoles / Q000008:administration & dosage; D017964:Itraconazole / Q000008:administration & dosage; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D014249:Trichophyton / Q000302:isolation & purification; D055815:Young Adult
chemical_list: D000935:Antifungal Agents; D007093:Imidazoles; D017964:Itraconazole; C036596:bifonazole