Cases reported "Dermatomycoses"

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1/5. Disseminated cutaneous rhinosporidiosis.

    rhinosporidiosis is a chronic granulomatous disorder caused by rhinosporidium seeberi. It frequently involves the nasopharynx and occasionally affects the skin. We herewith report a 55-year-old man who has disseminated cutaneous rhinosporidiosis. He presents with multiple reddish lesions over the nose of 10 year's duration. In the past year, he develops skin lesions over the right arm and over back. Histopathological examination of the skin biopsy specimen from the representative cutaneous lesions shows hyperplastic epithelium with numerous globular cysts of varying shape, representing sporangia in different stages of development. His serology for hiv infection by ELISA is negative. On the basis of these clinical and histopathological findings, a diagnosis of nasal rhinosporidiosis with cutaneous dissemination is made.
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2/5. Polymorphic cutaneous rhinosporidiosis.

    rhinosporidiosis is a chronic granulomatous condition caused by rhinosporidium seeberi primarily affecting the mucosa of the nose, eyes and sinuses. The patients usually present with nasal symptoms and skin involvement is uncommon [1-3]. Here, a patient with nasal rhinosporidiosis having two different morphological types of cutaneous lesions of rhinosporidiosis, coexisting at the same time and at the same site, is reported. The diagnosis was confirmed by FNAC (Fine Needle Aspiration Cytology) and skin biopsy from the skin lesions. To the best of my knowledge, such an unusual occurrence has not been reported earlier in literature.
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keywords = rhinosporidiosis
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3/5. Disseminated rhinosporidiosis.

    This paper reports a case of rhinosporidiosis which presented with widespread subcutaneous nodular lesions which failed to respond to surgical excision or to intravenous amphotericin b. Lesions in sites away from the nasal cavities are usually believed to be brought about by direct infection or by fingerborne autoinoculation. In this case, haematogenous dissemination was shown by the presence of sporangia within the lumen of a blood vessel. Systemic rhinosporidiosis is an extremely rare condition.
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keywords = rhinosporidiosis
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4/5. Disseminated cutaneous rhinosporidiosis treated with dapsone.

    A case of disseminated cutaneous rhinosporidiosis is reported. The possibility of leprosy was excluded. dapsone was found very effective in curing the cutaneous nodules. Though many chemotherapeutic agents have been tried both topically and internally, so far surgery is considered to be the effective method of treatment. Our experience with this case suggest that dapsone may be a successful drug in cutaneous rhinosporidiosis.
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keywords = rhinosporidiosis
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5/5. Subcutaneous and osteolytic rhinosporidiosis.

    A young man presented with multiple Subcutaneous nodules over scalp, hand, feet and osteolytic lesions of small bones of hand. Clinically and radiologically he was diagnosed as a case of Giant Cell Tumour. Aspiration cytology and biopsy proved it to be rhinosporidiosis. Epidemiological study revealed that he perhaps contracted this infection as an occupational hazard. This is the third reported case of osteolytic lesions due to rhinosporidiosis. Diagnostic dilemmas of subcutaneous and osteolytic rhinosporidiosis are discussed.
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keywords = rhinosporidiosis
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