Abstract:

A case of monilial granuloma caused by Candida parapsilosisis was reported. A-15-year-old boy had a history of rash on the face and neck for 2 months. Physical examination showed 3 annular plaques with diameters of 1-3 cm on his right face and neck. The margin of the lesions was edematous and swollen, and the centre was necrotic and crusted. There was a slight yellow exudation on the surface. A biopsy of neck lesion revealed pseudoepitheliomatous hyperplasia of epidermis, diffuse inflammatory cell infiltration into the dermis, mainly in lymphocytes, eosinophils, and plasma cells, with local necrosis and vascular proliferation. The isolate from the biopsy specimen was identified as Candida parapsilosisis. The patient was discharged on oral itraconazole 100 mg twice daily and external bifonazole cream for 6 week, while using dermoscopy to evaluate the efficacy of treatment, the lesions were slightly improved. The patient is still under treatment.

Key words: granuloma, Candida, Candida parapsilosisis, dermoscopy