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Association of Splinters With Chromomycosis and Phaeomycotic Cyst

Association of Splinters With Chromomycosis and Phaeomycotic Cyst Abstract To the Editor.— In the January Archives Tschen et al1 described two fungal lesions associated with splinters, calling the lesions "chromomycosis." We believe, as do these authors, that chromomycosis probably begins when fungi of the dematiacious group are carried into the dermis by penetrating splinters or slivers. The two lesions they described, however—without getting mired down in definitions—more closely resemble phaeomycotic cyst2-4 than chromomycosis.5 The following clinicopathologic features support this: (1) clinically, the lesions of their patients lacked epidermal involvement; (2) histologically, the lesions lacked pseudoepitheliomatous hyperplasia characteristic of chromomycosis; (3) an inflammatory infiltrate characteristic of chromomycosis (both suppurative and granulomatous inflammation, with eosinophils, and concentrated in the upper dermis) was apparently not present; and (4) their patients' lesions contained obvious foreignbody splinters, a feature more characteristic of phaeomycotic cyst (eg, Figs 18,195). Finally, the pigmented fungi in their two lesions appear polymorphous, with pseudohyphae and References 1. Tschen JA, Knox JM, McGavran MH, et al: Chromomycosis: The association of fungal elements and wood splinters . Arch Dermatol 1984;120:107-108.Crossref 2. Binford CH, Dooley JR: Phaeomycotic cysts , in Binford CH, Connor DH (eds): Pathology of Tropical and Extraordinary Diseases . Washington, DC, Armed Forces Institute of Pathology, 1976, pp 589-590. 3. Ziefer A, Connor DH: Phaeomycotic cyst: A clinicopathologic study of 25 patients . Am J Trop Med Hyg 1980;29:901-911. 4. Connor DH, Gibson DW, Ziefer A: Diagnostic features of three unusual infections: Micronemiasis, pheomycotic cyst, and protothecosis , in Majno G, Cotran RS, Kaufman N (eds): Current Topics in Inflammation and Infections . Baltimore, Williams & Wilkins Co, 1982, pp 205-239. 5. Binford CH, Dooley JR: Chromomycosis , in Binford CH, Connor DH (eds): Pathology of Tropical and Extraordinary Diseases . Washington, DC, Armed Forces Institute of Pathology, 1976, pp 585-586. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Association of Splinters With Chromomycosis and Phaeomycotic Cyst

Archives of Dermatology , Volume 121 (2) – Feb 1, 1985

Association of Splinters With Chromomycosis and Phaeomycotic Cyst

Abstract

Abstract To the Editor.— In the January Archives Tschen et al1 described two fungal lesions associated with splinters, calling the lesions "chromomycosis." We believe, as do these authors, that chromomycosis probably begins when fungi of the dematiacious group are carried into the dermis by penetrating splinters or slivers. The two lesions they described, however—without getting mired down in definitions—more closely resemble phaeomycotic cyst2-4 than...
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1985.01660020026003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor.— In the January Archives Tschen et al1 described two fungal lesions associated with splinters, calling the lesions "chromomycosis." We believe, as do these authors, that chromomycosis probably begins when fungi of the dematiacious group are carried into the dermis by penetrating splinters or slivers. The two lesions they described, however—without getting mired down in definitions—more closely resemble phaeomycotic cyst2-4 than chromomycosis.5 The following clinicopathologic features support this: (1) clinically, the lesions of their patients lacked epidermal involvement; (2) histologically, the lesions lacked pseudoepitheliomatous hyperplasia characteristic of chromomycosis; (3) an inflammatory infiltrate characteristic of chromomycosis (both suppurative and granulomatous inflammation, with eosinophils, and concentrated in the upper dermis) was apparently not present; and (4) their patients' lesions contained obvious foreignbody splinters, a feature more characteristic of phaeomycotic cyst (eg, Figs 18,195). Finally, the pigmented fungi in their two lesions appear polymorphous, with pseudohyphae and References 1. Tschen JA, Knox JM, McGavran MH, et al: Chromomycosis: The association of fungal elements and wood splinters . Arch Dermatol 1984;120:107-108.Crossref 2. Binford CH, Dooley JR: Phaeomycotic cysts , in Binford CH, Connor DH (eds): Pathology of Tropical and Extraordinary Diseases . Washington, DC, Armed Forces Institute of Pathology, 1976, pp 589-590. 3. Ziefer A, Connor DH: Phaeomycotic cyst: A clinicopathologic study of 25 patients . Am J Trop Med Hyg 1980;29:901-911. 4. Connor DH, Gibson DW, Ziefer A: Diagnostic features of three unusual infections: Micronemiasis, pheomycotic cyst, and protothecosis , in Majno G, Cotran RS, Kaufman N (eds): Current Topics in Inflammation and Infections . Baltimore, Williams & Wilkins Co, 1982, pp 205-239. 5. Binford CH, Dooley JR: Chromomycosis , in Binford CH, Connor DH (eds): Pathology of Tropical and Extraordinary Diseases . Washington, DC, Armed Forces Institute of Pathology, 1976, pp 585-586.

Journal

Archives of DermatologyAmerican Medical Association

Published: Feb 1, 1985

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