Abstract:

A case of facial skin candidal granuloma was reported.A 14-year-old girl had a history of erosion around mouth for 10 years and interspersed plaques,scab on face for six years.Physical examination showed dark-red plaques with tan thick scab of various sizes on her face. Fungal microscope examination showed mass hyphae and that was identified as Candidas albicans.Histopathological examination revealed infiltration of diffuse lymphocytes,sparse neutrophils and multinucleated giant cells in upper dermis.Mass hyphae was found in cuticle and spores were found in multinucleated giant cells by PAS stain.The diagnosis was made as candidal granuloma.The lesions improved after treatment of two-month with Griseofulvin,six-month with BCG-PSN,seven-month with Itraconazole, most of the scab was dropped. The patient is still under treatment.

Key words: granuloma, Candida, Candida albicans, itraconazole