Abstract

Majocchi's granuloma is well recognized but uncommon infection of dermal and subcutaneous tissue by fungal organisms usually limited to the superficial epidermis. The organism most commonly associated with Majocchi's granuloma is Trichophyton(T.) rubrum, however, other dermatophytes may be the causative agent. A 44-year-old male patient presented with a 6 month history of two well defined erythematous nodular plaques on his right jaw and preauricular area. Histopathologic findings were consistent with the Majocchi's granuloma, showing perifolliculitis and granulomatous inflammation in the dermis. Many fungal elements were noted within the giant cells of the perifollicular dermis of PAS stained section. T. rubrum was cultured from the biopsy specimen and confirmed by slide culture. After

10 weeks of terbinafine (Lamisil®) therapy (250 mg/day), lesions were cleared with mild erythematous patches and atrophic scars.

Keywords

Majocchi's granuloma Trichophyton rubrum

KJMM 2010 June;15(2):77-82(6). Epub 2016 February 18
Copyright © 2010 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Hyo Sang Ahn; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Jung Eun Kim; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Hyun Jeong Park; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Baik Kee Cho; Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea
Moo Kyu Suh; Department of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea

Corresponding

Baik Kee Cho, Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea. Tel: (02) 3779-1230, Fax: (02) 783-7604, e-mail: bkcho@catholic.ac.kr

Publication history

Received 8 December 2009; Revised 10 March 2010; Accepted 12 March 2010.

Acknowledgements

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Hyo Sang Ahn

Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Jung Eun Kim

Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Hyun Jeong Park

Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Baik Kee Cho

Department of Dermatology, College of Medicine, The Catholic University of Korea, Seoul, Korea

Moo Kyu Suh

Department of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea

Since epub date 2016 February 18