Abstract

Dermatophytes usually do not invade beyond the epidermis. However, mechanical breakage of the skin resulting from scratching or trauma and immunocompromised state, such as diabetes mellitus, lymphoma, and long term steroid use may allow penetration of the fungi into dermis. We report a case of trichophytic granuloma of the thigh caused by Trichophyton(T.) rubrum in a 21-year-old chinese male, who showed a pruritic, 17×10 cm sized, erythematous to brownish patch with multiple papules on the left thigh for 3 months. Fungal culture of the biopsy specimen grew out typical white cottony colonies of T. rubrum. Histopathologic examination of the skin lesions showed chronic granulomatous inflammation and fungal elements in the dermis. After one month of itraconazole therapy (200 mg/day),

lesions were completely cleared.

Keywords

Trichophytic granuloma Thigh Trichophyton rubrum

KJMM 2008 December;13(4):176-180(5). Epub 2016 February 18
Copyright © 2008 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Woo Tae Ko; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Gyo Shin Kang; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Moo Kyu Suh; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Jae Hong Kim; Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea
Gyoung Yim Ha; Departments of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea
Jong Im Lee; Departments of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea

Corresponding

Moo Kyu Suh, Departments of Dermatology, College of Medicine, Dongguk University, Gyeongju, Korea. Tel: (054) 770-8269, Fax: (054) 773-1581, e-mail: smg@dongguk.ac.kr

Publication history

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.

Woo Tae Ko

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

Gyo Shin Kang

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

Moo Kyu Suh

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

Jae Hong Kim

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

Gyoung Yim Ha

Departments of Laboratory Medicine, College of Medicine, Dongguk University, Gyeongju, Korea

Jong Im Lee

Departments of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea

Since epub date 2016 February 18