Journal Name:
- Indian Journal of Basic & Applied Medical Research
Key Words:
| Author Name | University of Author |
|---|---|
Abstract (2. Language):
We report a case of 65 year old man who presented with complaints of itching and crusting over the knee. With
a clinical impression of lichenoid dermatitis a skin biopsy was performed . The biopsy showed occasional ill
defined granulomas and microabscesses. In view of the clinicopathologic discordance a careful scrutiny of the
granulomas and microabscesses was carried out under oil immersion lens. Occasional penny shaped structures
could be identified which were positive for fungal stains namely methenamine silver and Periodic Acid
Schiff.(PAS). On literature search these were confirmed to be medlar bodies which are characteristic of a rare
deep fungal infection namely chromoblastomycosis. The medlar bodies are often very few in histopathology
specimens and are missed due to lack of awareness about this entity. The problem gets compounded when the
clinical appearance suggests a different diagnosis.The case has been reported in view of its rarity and a brief
review of chromoblastomycosis is presented.
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