Zarei Mina, Schneider Samantha, Villasante Alexandra, Villada Gabriel, Patel Tejas, Hu Shasa, Romanelli Paolo
Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, FL.
Am J Dermatopathol. 2015 Sep;37(9):e112-5. doi: 10.1097/DAD.0000000000000273.
Chromoblastomycosis (CBM) is a slowly progressive cutaneous and subcutaneous mycosis mostly seen in tropical and subtropical areas and Fonsecaea pedrosoi is the most common cause. The authors describe the case of a diabetic Haitian woman, presenting with a chronic verrucous plaque without any history of trauma. Her histopathologic results showed epidermal hyperplasia and sclerotic bodies, which are diagnostic for CBM. Her therapy began with itraconazole 200 mg tablets twice a day. The unique feature of this patient is the coincidence of diabetes and CBM. However, to the best of our knowledge, this is the first documented case of human CBM in Miami, FL, which develops the awareness regarding this diagnosis among doctors in this area. There should be a close communication between dermatologists and pathologists to make an early diagnosis of CBM and also adequate therapy, which both are fundamental to improve patient's quality of life.
着色芽生菌病(CBM)是一种进展缓慢的皮肤和皮下真菌病,多见于热带和亚热带地区,裴氏瓶霉是最常见的病因。作者描述了一例患有糖尿病的海地女性病例,该患者出现慢性疣状斑块,无任何创伤史。她的组织病理学结果显示表皮增生和硬化小体,这是CBM的诊断依据。她的治疗从每天两次服用200毫克伊曲康唑片开始。该患者的独特之处在于糖尿病与CBM并存。然而,据我们所知,这是佛罗里达州迈阿密市首例有记录的人类CBM病例,这提高了该地区医生对这一诊断的认识。皮肤科医生和病理学家之间应密切沟通,以便早期诊断CBM并进行充分治疗,这两者对于提高患者生活质量至关重要。