Verrucous and ulcerovagitant facial chromo- blastomycosis with nasal bridge destruction, cleaving upper lip deformity and exuberant eyelid squamous cell carcinoma- rare debilitating sequel chromoblastomycosis in a non-endemic of facial region: A case report | [Journal of Pakistan Association of Dermatologists • 2023]

Author(s):

1. Zaima Sohail Chaudhry: Department of Dermatology, King Edward Medical University, Mayo Hospital Lahore,,Pakistan

2. Aisha Ghias: Department of Dermatology, King Edward Medical University, Mayo Hospital Lahore,,Pakistan

3. Eima Shaheen: Department of Dermatology, King Edward Medical University, Mayo Hospital Lahore,,Pakistan

4. Kiran Irfan: Department of Dermatology, King Edward Medical University, Mayo Hospital Lahore,,Pakistan

5. Shahbaz Aman: Department of Dermatology, King Edward Medical University, Mayo Hospital Lahore,,Pakistan

Abstract:

Chromoblastomycosis, refers to a chronic granulomatous and suppurative subcutaneous dematiaceous fungal infection, resulting from traumatic skin inoculation by melanized fungi of Herpotrichiellaceae family, including Fonsecaea pedrosoi, Cladophialophora carrionii, accounted as the most commonly prevalent endemic etiological species in tropical and temperate regions. Chromoblastomycosis is therapeutically challenging executing varied clinical forms with recalcitrant and intractable disease nature, frequent recurrence and debilitating sequel. We report a case of verrucous and destructive Facial Chromoblastomycosis in an 8yrs old male child, who initially presented with a 3yrs history of progressive appearance of hyperkeratotic and cauliflower like vegetative mycosis over bilateral extensor forearm and legs prevailing for years with constitutional symptoms, later evolved into verrucous, ulcerovegetant gritty plaques involving ear lobule and pinna, bilateral cheeks, with subsequent nasal bridge destruction, cleaving upper lip deformity and recently unfolded a papillomatous exuberant lower eyelid SCC. Histopathological evidence of cutaneous biopsy was consistent with Chromoblastomycosis while protruding eyelid mass revealed an SCC.

Page(s): 764-769

DOI: DOI not available

Published: Journal: Journal of Pakistan Association of Dermatologists, Volume: 33, Issue: 2, Year: 2023

Keywords:

Squamous cell carcinoma , Abstract , eolgtFacial Chromoblastomycosis

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