PMC8825630_01
Ulcerated verrucous plaque on the abdomen.
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At the time of referral, the patient had a 17 cm x 6.5 cm ulcerated verrucous plaque with foul smell and purulent discharge on her abdomen (Figure 1).
Specimen stained by the Gomori methenamine silver stain method.
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An incisional biopsy of the lesion displayed broad-based budding yeasts with doubly refractile cell walls consistent with B. dermatitis (Figures 2-4).
High-power magnification of the skin biopsy specimen reveals a broad-based budding yeast cell.
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An incisional biopsy of the lesion displayed broad-based budding yeasts with doubly refractile cell walls consistent with B. dermatitis (Figures 2-4).
Low-power examination of a hematoxylin-and-eosin stained skin biopsy specimen.
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An incisional biopsy of the lesion displayed broad-based budding yeasts with doubly refractile cell walls consistent with B. dermatitis (Figures 2-4).
After 8 weeks of itraconazole treatment.
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The patient was successfully treated with a 6-month course of oral itraconazole (Figures 5 and 6).
Healed after itraconazole 200 mg p.o. TID for 3 days then 200 mg p.o. BID for 6 months.
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The patient was successfully treated with a 6-month course of oral itraconazole (Figures 5 and 6).