Phaeohyphomycosis caused by Exophiala dermatitidis following intra-articular steroid injection.
Br J Dermatol
; 135(3): 475-7, 1996 Sep.
Article
em En
| MEDLINE
| ID: mdl-8949449
ABSTRACT
A patient with long-standing rheumatoid arthritis presented with a painful pigmented chronic nodule on the dorsum of the right hand, at the site of intra-articular steroid injections undertaken 5 years previously. Histology showed pigmented fungal elements consistent with phaeohyphomycosis. Cultures yielded black yeast-like colonies, identified as Exophiala dermatitidis and sensitive to itraconazole and amphotericin. A 1-month course of itraconazole resulted in marked clinical improvement but surgical excision and skin grafting were required for complete resolution. Phaeohyphomycosis has been related to inoculation injury but association with intra-articular steroid injection appears hitherto to be unreported.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções Oportunistas
/
Exophiala
/
Dermatomicoses
/
Dermatoses da Mão
/
Injeções Intra-Articulares
Tipo de estudo:
Prognostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Revista:
Br J Dermatol
Ano de publicação:
1996
Tipo de documento:
Article
País de afiliação:
Reino Unido