title: Mycosis fungoides-like lesions in a patient with diffuse cutaneous sporotrichosis.
abstract: BACKGROUND
  Sporotrichosis is a subacute or chronic mycosis acquired by traumatic inoculation or inhalation of fungal conidia. It is caused by the dimorphic fungus Sporothrix, which causes different clinical presentations, being the cutaneous and lymphocutaneous variants being the most frequent. The disseminated cutaneous form is a rare presentation occurring in a minority of cases in Mexico.
  
  
  METHODS
  We report an atypical case of disseminated sporotrichosis in an alcoholic and iatrogenically immunosuppressed patient, whose clinical lesions resembled tumoral-stage mycosis fungoides. Histological examination and culture revealed the presence of Sporothrix schenckii.
  
  
  CONCLUSIONS
  The patient was treated with itraconazole 200mg per day for 4 months with clinical resolution. To the best of our knowledge, this is the first report of this type of clinical manifestation.
authors.affiliation: Department of Pathology, Hospital General de Durango, Universidad Juárez del Estado de Durango, Durango, Mexico.
authors.forename: Adriana
authors.initials: A
authors.lastname: Cotino Sánchez
authors.affiliation: Department of Dermatology, Hospital Central Dr. Ignacio Morones Prieto, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico.
authors.forename: Bertha
authors.initials: B
authors.lastname: Torres-Alvarez
authors.affiliation: Department of Pathology, Hospital General de Durango, Universidad Juárez del Estado de Durango, Durango, Mexico.
authors.forename: Teodoro
authors.initials: T
authors.lastname: Gurrola Morales
authors.affiliation: Department of Pathology, Hospital General de Durango, Universidad Juárez del Estado de Durango, Durango, Mexico.
authors.forename: Silvia
authors.initials: S
authors.lastname: Méndez Martínez
authors.affiliation: Department of Pathology, Hospital General de Durango, Universidad Juárez del Estado de Durango, Durango, Mexico.
authors.forename: Mauricio
authors.initials: M
authors.lastname: Saucedo Gárate
authors.affiliation: Department of Dermatology, Hospital Central Dr. Ignacio Morones Prieto, Universidad Autónoma de San Luis Potosí, San Luis Potosí, Mexico. Electronic address: castanju@yahoo.com.
authors.forename: Juan Pablo
authors.initials: JP
authors.lastname: Castanedo-Cazares
mesh_terms: D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D009182:Mycosis Fungoides / Q000473:pathology*; D012878:Skin Neoplasms / Q000473:pathology*; D013174:Sporotrichosis / Q000473:pathology*
keywords: Esporotricosis; Itraconazol; Itraconazole; Micosis fungoide; Mycosis fungoides; Sporothrix schenckii; Sporotrichosis