A Case of Majocchi's Granuloma
Abstract
Majocchi's granuloma is a well recognized but uncommon infection of dermal and subcutaneous tissue by fungal organisms usually limited to the superficial epidermis. The organism usually associated with Majocchi's granuloma is Trichophyton(T.) rubrum, however, other dermatophytes may be the causative agent. We presented a 74-year-old female who had a well defined erythematous nodular plaque on her right cheek for 1 month. Histopathologic findings was consistent with the Majocchi's granuloma, showing perifolliculitis and granulomatous inflammation in dermis. Many fungal elements were noted in the follicular keratin plug and giant cells in the granulomatous inflammation of the perifollicular dermis in the H & E stain. But no fungal hyphae was noted in horny layer of the epidermis and a culture for the fungus was failed. The cutaneous lesion treated with terbinafine (Lamisil®) 250 mg and lanoconazole cream daily with cured one month later.
Keywords
Dermatophytosis Majocchi's granuloma Face
KJMM
2007 March;12(1):23-26(4). Epub 2016 February 19
Copyright © 2007 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Young Chan Song; Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Sang Hee Lim; Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Yang Won Lee; Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Yong Beom Choe; Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Kyu Joong Ahn; Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Corresponding
Kyu Joong Ahn, Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea. Tel: (02) 2030-5170, Fax: (02) 2030-5179, e-mail: kjahn@kuh.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.
Young Chan Song
Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Sang Hee Lim
Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Yang Won Lee
Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Yong Beom Choe
Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
Kyu Joong Ahn
Department of Dermatology, Konkuk University College of Medicine, Seoul, Korea
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Since epub date 2016 February 19