title: Chromoblastomycosis in a Diabetic Patient Without a History of Trauma.
abstract: Chromoblastomycosis (CBM) is a slowly progressive cutaneous and subcutaneous mycosis mostly seen in tropical and subtropical areas and Fonsecaea pedrosoi is the most common cause. The authors describe the case of a diabetic Haitian woman, presenting with a chronic verrucous plaque without any history of trauma. Her histopathologic results showed epidermal hyperplasia and sclerotic bodies, which are diagnostic for CBM. Her therapy began with itraconazole 200 mg tablets twice a day. The unique feature of this patient is the coincidence of diabetes and CBM. However, to the best of our knowledge, this is the first documented case of human CBM in Miami, FL, which develops the awareness regarding this diagnosis among doctors in this area. There should be a close communication between dermatologists and pathologists to make an early diagnosis of CBM and also adequate therapy, which both are fundamental to improve patient's quality of life.
authors.affiliation: Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL.
authors.forename: Mina
authors.initials: M
authors.lastname: Zarei
authors.forename: Samantha
authors.initials: S
authors.lastname: Schneider
authors.forename: Alexandra
authors.initials: A
authors.lastname: Villasante
authors.forename: Gabriel
authors.initials: G
authors.lastname: Villada
authors.forename: Tejas
authors.initials: T
authors.lastname: Patel
authors.forename: Shasa
authors.initials: S
authors.lastname: Hu
authors.forename: Paolo
authors.initials: P
authors.lastname: Romanelli
mesh_terms: D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D002862:Chromoblastomycosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology; D005260:Female; D005431:Florida; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole