Extensive lupus vulgaris-like chromoblastomycosis responding to itraconazole: case report

Abstract

We present a case report of a patient with extensive chromoblastomycosis that mimicks lupus vulgaris. This is a rare clinical presentation with atrophic patches on the trunk and crusted lesion on the lower extremities. The diagnosis was confirmed by histology, potassium hydroxide preparation and culture. Fonsecaea Pedrosoi was isolated on fungal culture. Patient was treated with itraconazole tablets 100mgs twice daily for three months with rapid improvement. Sporadic cases of chromoblastomycosis occur in Eastern Africa. Patients present with disfiguring disease due to delay in treatment.