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KMID : 0363219960340040660
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Korean Journal of Dermatology
1996 Volume.34 No. 4 p.660 ~ p.663
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A Case of Lymphocutaneous Sporotrichosis with Unusual Clinical features
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Abstract
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We report a case of lymphocutaneous sporotrichosis with unusual clinical features in a 62-year-old male patient, who presented with a painless, well-defined psoriasiform plaque and central ulceration on the dorsum of the right hand which
progressively
spread into the lymphatics draining area. The fully matured lesions produced a chain of firm, mild prickling subcutaneous nodules on both upper extremities probably due to autoinoculation. The biopsy specimen of the lesion showed hyperkeratosis
with
chronic granulomatous inflammation and PAS-positive fungal spores in the dermis. Sporothrix schenckii was identified using a fungal culture of tissue specimen. The lesions improved with treatment of a topical antifungal agent and IK solution at
the
dose
of 2 g/day for 1 month, but returned to initial cutaneous manifestation due to the patient failing to the treatment. (Kor J Dermatol 1996;34(4) : 660~663)
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KEYWORD
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