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Majocchi's Granuloma Arising in Previous Burn Area

Hee Sun Lim,Sook Jung Yun,Jee-Bum Lee,Seong-Jin Kim,Seung-Chul Lee,Young Ho Won
Epub 2016 February 15

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Abstract



Majocchi's granuloma is deep dermatophyte infections rarely form ulceration, nodules and abscesses and usually occur in immunocompromised patients. Although progression of deep dermatophytosis may be induced by the use of topical or systemic steroids, immunosuppression may not be found in some cases. We report a case of Majocchi's granuloma arising in previous burn area, who had pruritic erythematous macules, patches and papules on the left forearm for 7 months. KOH mount was negative. Histopathological examination showed granulomatous reaction and numerous hyphae and spore in the dermis, and the organism was identified as Trichophyton rubrum on tissue culture. The patient was treated with 2 times of itraconazole pulse therapy and then terbinafine (250 mg/day) for 4 weeks, resulting in the clearing of the lesion.



Keywords


Majocchi's granuloma Trichophyton rubrum




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