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Unusual Presentation of Subcutaneous Phaeohyphomycosis by Alternaria alternate

Annals of Dermatology 2019년 31권 5호 p.563 ~ 566
 ( Lee Ji-Yeon ) - Keimyung University Dongsan Medical Center Department of Infectious Diseases

 ( Hyun Mi-Ri ) - Keimyung University Dongsan Medical Center Department of Infectious Diseases
 ( Kim Hyun-Ah ) - Keimyung University Dongsan Medical Center Department of Infectious Diseases
 ( Ryu Seong-Yeol ) - Keimyung University Dongsan Medical Center Department of Infectious Diseases

Abstract


The Alternaria species are dematiaceous fungi. Human infection due to dematiaceous fungi is uncommon. Most reported cases of alternariosis have occurred in patients with immunodeficiency. The majority of cases were solid-organ transplantation recipients. Cutaneous alternariosis lesions are usually asymptomatic solitary nodules, plaques of ulcers or subcutaneous cysts. Here we report a case of a 77-year-old female who presented with hemorrhagic skin necrosis in right arm that had developed from hemorrhagic bullae. Her prior medical history included iatrogenic Cushing's syndrome, hypertension, interstitial lung disease and congestive heart failure. Following administration of itraconazole, her lesions improved.

키워드

Alternaria; Phaeohyphomycosis
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