Chromomycosis: a case report
Abstract
Background: chromomycosis is a chronic subcutaneous mycosis caused by dematiaceous or feoid fungi from the genera Fonsecaea, Cladophialophora, Phialophora, Rhinocladiella and Exophiala, among others. It affects skin and subcutaneous cellular tissue, preferably in the lower extremities, especially in feet, characterized by warty, nodular or atrophic lesions and it is difficult to treat. Fungi that cause Chromomycosis can be isolated in the environment from wood, plant remains or soil.
Objective: to present the clinical case of a patient diagnosed with chromomycosis.
Clinical case: a 56-year-old male, agricultural worker, who presented a left forearm lesion approximately 15 years ago, which grew slowly until reaching a large size, so he went to medical consultation in his municipality, being referred to the dermatology consultation. Dermatological examination showed a localized cutaneous lesion consisting of an erythematous-scaly lesion, with isolated scabs with well-defined edges, approximately 20 centimeters long, imbricated with hypochromic zones, which sit in the posterior medial region of the left arm and forearm. The rest of the physical examination did not present alterations.
Conclusions: chromomycosis is a rare disease, leading to complications. Therefore it is important to consider the disease for its early diagnosis.
DeCS: EXOPHIALA; CHROMOBLASTOMYCOSIS; PHIALOPHORA; ADULT; CASE STUDIES.
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22 julio 2025