Welcome to Chinese Journal of Mycology,Today is Share:

Chinese Journal of Mycology 2018, Vol. 13  Issue (6): 357-360.

论文 Previous Articles     Next Articles

A case of Majocchi granuloma misdiagnosed as cutaneous metastasis clinically

WU Qiong1, QIAN Cheng-feng1, GAO Zhi-qin2, JU Qiang1, YANG Lian-juan2, CAI Qing2   

  1. 1. Department of Dermatology, Renji Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai 200127;
    2. Department of Mycology, Shanghai Dermatology Hospital, Shanghai 200050
  • Received:2018-06-13 Online:2018-12-28 Published:2018-12-28

Abstract:

A clinically misdiagnosed metastatic tumor case, definitely diagnosed as granuloma caused by Trichophyton rubrum through histopathology, Mycological examination,molecular biological analysis, was reported. A 65-year-old woman presented with erythema, papules and nodules on the right forearm for three months. Physical examination showed erythema, papules and small nodules, some of which merged into annular plaque. Biopsy of one small nodule was done and histopathology demonstrated granuloma involving the follicle in the dermis, with spores and hyphae inside. Tissue culture and molecular biological test turned out to be Trichophyton rubrum. The final diagnosis was Majocchi granuloma caused by Trichophyton rubrum. The patient was treated with oral itraconazole, 0.2 g bid for five weeks and 0.2 g qd for 7 weeks, with a complete resolution,negative of mycology and no relapse during a half-year following.

Key words: Trichophyton rubrum, Majocchi granuloma, itraconazole

CLC Number: