A Case of Cutaneous Alternariosis

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  • YATSUZUKA Kazuki
    Department of Dermatology, Ehime University Graduate School of Medicine
  • SHIRAISHI Ken
    Department of Dermatology, Ehime University Graduate School of Medicine
  • UTSUNOMIYA Ryo
    Department of Dermatology, Ehime University Graduate School of Medicine
  • TOHYAMA Mikiko
    Department of Dermatology, Ehime University Graduate School of Medicine
  • YARITA Kyouko
    Division of Clinical Research, Medical Mycology Reserch Center, Chiba University
  • KAMEI Katsuhiko
    Division of Clinical Research, Medical Mycology Reserch Center, Chiba University
  • SAYAMA Koji
    Department of Dermatology, Ehime University Graduate School of Medicine

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Other Title
  • 深在性皮膚アルテルナリア症の 1 例
  • 症例 深在性皮膚アルテルナリア症の1例
  • ショウレイ シンザイセイ ヒフ アルテルナリアショウ ノ 1レイ

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Abstract

<p>We report here a case of dermal cutaneous alternariosis in a 65-year-old man, who was taking systemic steroids and cyclosporin for pemphigus vulgaris. The patient also had steroid-induced diabetes mellitus. A reddish-brown nodule 2 cm in diameter developed on the left thigh. Diagnosis was based on histopathological examination, periodic acid-Schiff staining, and positive results of fungal culture. Treatment with oral itraconazole and reduction of immunosuppressive drugs were effective. We review the literature of dermal cutaneous alternariosis reported in Japan from 2000 to 2015. Including our case, only 13 cases have been reported. Cutaneous alternariosis should be considered in the initial diagnosis of skin lesions,such as small nodules or granulomatous lesions, particularly in immunocompromised patients.</p>

Journal

  • Nishi Nihon Hifuka

    Nishi Nihon Hifuka 78 (6), 650-659, 2016

    Western Division of Japanese Dermatological Association

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