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Cutaneous Alternariosis

Cutaneous Alternariosis Abstract • A 77-year-old woman had had a slowly spreading lesion of five years' duration on her left cheek. The lesion consisted of sharply demarcated, dark-red plaques with infiltration. A biopsy specimen from the lesion showed mixed-cell granulomatous infiltration in the upper to middle dermis. Hyphae were observed in the granulomatous tissue. Alternaria tenuissima was isolated from a biopsy specimen. Antimycotic susceptibility test with amphotericin B, ketoconazole, and flucytosine revealed that the isolate was sensitive to the former two drugs. The lesion was treated with intralesional infiltration of amphotericin B. (Arch Dermatol 1988;124:1822-1825) References 1. Graveson S: Identification and quantitation of indoor airborne micro-fungi during 12 months from 44 Danish homes . Acta Allergol 1972;27:337-340.Crossref 2. Schlueter DP, Fink JN, Hensley GT: Wood-pulp workers disease: A hypersensitivity pneumonitis caused by Alternaria . Ann Intern Med 1972;77:907-914.Crossref 3. Rippon JW: Medical Mycology: The Pathogenic Fungi and Pathogenic Actinomycetes , ed 2. Philadelphia, WB Saunders Co, 1982, p 668. 4. Borsook ME: Skin infection due to Alternaria tenuis . Can Med Assoc J 1933;29:479-482. 5. Takatsuki Y: Über eine von einer menschlichen Dermatose isolierte Spezies von Alternaria . Jpn J Dermatol Urol 1938;43:633-634. 6. Botticher WW: Alternaria as a possible human pathogen . Sabouraudia 1966;4:256-258.Crossref 7. Chevrant-Breton J, Boisseau-Lebreuil M, Fréour E, et al: Les alternarioses cutanées humaines: A propos de trois cas: Revue de la littérature . Ann Dermatol Venereol 1981;108:653-662. 8. Miller WS cited in Parker JC Jr, Klintworth GK: Alternariosis in Baker KD (ed): The Pathologic Anatomy of Mycoses. Human Infection With Fungi, Actinomycetes and Algae . New York, Springer-Verlag NY Inc, 1971, p 963. 9. Nakama T: A case of cutaneous alternariosis Jpn J Med Mycol 1970;11:219 10. Ellis MB: Dematiaceous Hyphomycetes . Kew, England, Commonwealth Mycological Institute, 1971, pp 464-497. 11. Higashi N, Asada Y: Cutaneous alternariosis with mixed infection of Candida albicans: Report of a patient responding to natamycin . Arch Dermatol 1973;108:558-560.Crossref 12. Pedersen NB, Mårdh P-A, Hallberg T, et al: Cutaneous alternariosis . Br J Dermatol 1976;94:201-209.Crossref 13. Saruta T, Ohkuma S, Nakamizo Y: Cutaneous alternariosis . Jpn J Med Mycol 1981;22:68. 14. Kawasaki H, Akagi M, Nishimura N: A case of cutaneous alternariosis . Jpn J Med Mycol 1970;11:218. 15. Bourlond A, Decroix J, Dobbelaere F, et al: Alternariose dermique . Ann Dermatol Syphilol 1974;101:413-415. 16. Farmer SG, Komorowski RA: Cutaneous microabscess formation from Alternaria alternata . Am J Clin Pathol 1976;66:565-569. 17. Fukushi G, Kameda T, Hanada K, et al: Cutaneous alternariosis . Rinsho Derma 1977;19:227-232. 18. Fukushiro R, Kinbara T, Inoue K, et al: Cutaneous alternariosis . Jpn J Med Mycol 1977;17:246. 19. Mikoshiba H, Okubo S, Wakamatsu K, et al: Cutaneous alternariosis . J Dermatol 1979;6:67-73. 20. Lucas Morante T, Rotés Mas J, Sabaté de la Cruz X, et al: Síndrome de Cushing con alternariosis cutánea: Localización temporal por body scanner . Rev Clin Esp 1980;156:133-138. 21. De Moragas JM, Prats G, Verger G: Cutaneous alternariosis treated with miconazole . Arch Dermatol 1981;117:292-294.Crossref 22. Rubio Calvo MC, Martín López J, Gómes Lus R: Granuloma dermico por Alternaria tenuissima en un paciente inmunodeprimido . Ponencias 8, Congreso Nacional de Microbiología, Madrid, 1981, p 224. 23. Verret J-L, Gaborieau F, Chabasse D, et al: Alternariose cutanée révélatrice d'une maladie de Cushing: Un cas avec étude ultrastructurale . Ann Dermatol Venereol 1982;109:841-846. 24. Kawaguchi T, Nakayama H, Shimao S, et al: A case of cutaneous alternariosis (dermal type) . Jpn J Med Mycol 1982; 23:84. 25. Renault JJ, Le Duigou D, Doby JM, et al: Alternariose cutanée . Presse Med 1983;12:2059. 26. Mitchell AJ, Solomon AR, Beneke ES, et al: Subcutaneous alternariosis . J Am Acad Dermatol 1983;8:673-676.Crossref 27. Del Palacio Hernanz A, Conde-Zurita JM, Reyes Pecharroman S, et al: A case of Alternaria alternata (Fr) Keissler infection of the knee . Clin Exp Dermatol 1983;8:641-646.Crossref 28. Puissant A, Badillet G, Maleville J, et al: Alternariose cutanée chez un enfant . Ann Dermatol Venereol 1984;111:753-754. 29. Bourlond A, Alexandre G: Dermal alternariosis in a kidney transplant recipient . Dermatologica 1984;168:152-156.Crossref 30. Laudren A, Chevrant-Breton J, Pichard J-P, et al: Alternariose cutanée chez un transplanté rénal: Un nouveau cas . Ann Dermatol Venereol 1985;112:255-257. 31. Meraud JP, Guiguen CL, Couprie B, et al: Une alternariose cutanée d'evolution prolongée . Bull Soc Fr Mycol Med 1985;14:205-208. 32. Male O, Pehamberger H: Die Kutane Alternariose: Fallberichte und Literaturübersicht . Mykosen 1985;28:278-305.Crossref 33. Smandia JA, Viguera J, Casanovas RM, et al: Lesiones granulomatosas por Alternaria . Actas Dermo-Sifiligr 1985; 76:581. 34. Nameki H, Saito Y: Cutaneous alternariosis . Hifubyoh-Shinryoh 1986;8:641-642. 35. Di Silverio A, Sacchi S: Cutaneous alternariosis: A rare chromohyphomycosis: Report of a case . Mycopathologia 1986; 95:159-166.Crossref 36. Simal E, Navarro M, Rubio MC, et al: Sobre un caso de alternariasis cutánea . Actas Dermo-Sifiligr 1986;77:252-256. 37. Viviani MA, Tortorano AM, Laria G, et al: Two new cases of cutaneous alternariosis with a review of the literature . Mycopathologia 1986;96:3-12.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Cutaneous Alternariosis

Archives of Dermatology , Volume 124 (12) – Dec 1, 1988

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References (33)

Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1988.01670120038007
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 77-year-old woman had had a slowly spreading lesion of five years' duration on her left cheek. The lesion consisted of sharply demarcated, dark-red plaques with infiltration. A biopsy specimen from the lesion showed mixed-cell granulomatous infiltration in the upper to middle dermis. Hyphae were observed in the granulomatous tissue. Alternaria tenuissima was isolated from a biopsy specimen. Antimycotic susceptibility test with amphotericin B, ketoconazole, and flucytosine revealed that the isolate was sensitive to the former two drugs. The lesion was treated with intralesional infiltration of amphotericin B. (Arch Dermatol 1988;124:1822-1825) References 1. Graveson S: Identification and quantitation of indoor airborne micro-fungi during 12 months from 44 Danish homes . Acta Allergol 1972;27:337-340.Crossref 2. Schlueter DP, Fink JN, Hensley GT: Wood-pulp workers disease: A hypersensitivity pneumonitis caused by Alternaria . Ann Intern Med 1972;77:907-914.Crossref 3. Rippon JW: Medical Mycology: The Pathogenic Fungi and Pathogenic Actinomycetes , ed 2. Philadelphia, WB Saunders Co, 1982, p 668. 4. Borsook ME: Skin infection due to Alternaria tenuis . Can Med Assoc J 1933;29:479-482. 5. Takatsuki Y: Über eine von einer menschlichen Dermatose isolierte Spezies von Alternaria . Jpn J Dermatol Urol 1938;43:633-634. 6. Botticher WW: Alternaria as a possible human pathogen . Sabouraudia 1966;4:256-258.Crossref 7. Chevrant-Breton J, Boisseau-Lebreuil M, Fréour E, et al: Les alternarioses cutanées humaines: A propos de trois cas: Revue de la littérature . Ann Dermatol Venereol 1981;108:653-662. 8. Miller WS cited in Parker JC Jr, Klintworth GK: Alternariosis in Baker KD (ed): The Pathologic Anatomy of Mycoses. Human Infection With Fungi, Actinomycetes and Algae . New York, Springer-Verlag NY Inc, 1971, p 963. 9. Nakama T: A case of cutaneous alternariosis Jpn J Med Mycol 1970;11:219 10. Ellis MB: Dematiaceous Hyphomycetes . Kew, England, Commonwealth Mycological Institute, 1971, pp 464-497. 11. Higashi N, Asada Y: Cutaneous alternariosis with mixed infection of Candida albicans: Report of a patient responding to natamycin . Arch Dermatol 1973;108:558-560.Crossref 12. Pedersen NB, Mårdh P-A, Hallberg T, et al: Cutaneous alternariosis . Br J Dermatol 1976;94:201-209.Crossref 13. Saruta T, Ohkuma S, Nakamizo Y: Cutaneous alternariosis . Jpn J Med Mycol 1981;22:68. 14. Kawasaki H, Akagi M, Nishimura N: A case of cutaneous alternariosis . Jpn J Med Mycol 1970;11:218. 15. Bourlond A, Decroix J, Dobbelaere F, et al: Alternariose dermique . Ann Dermatol Syphilol 1974;101:413-415. 16. Farmer SG, Komorowski RA: Cutaneous microabscess formation from Alternaria alternata . Am J Clin Pathol 1976;66:565-569. 17. Fukushi G, Kameda T, Hanada K, et al: Cutaneous alternariosis . Rinsho Derma 1977;19:227-232. 18. Fukushiro R, Kinbara T, Inoue K, et al: Cutaneous alternariosis . Jpn J Med Mycol 1977;17:246. 19. Mikoshiba H, Okubo S, Wakamatsu K, et al: Cutaneous alternariosis . J Dermatol 1979;6:67-73. 20. Lucas Morante T, Rotés Mas J, Sabaté de la Cruz X, et al: Síndrome de Cushing con alternariosis cutánea: Localización temporal por body scanner . Rev Clin Esp 1980;156:133-138. 21. De Moragas JM, Prats G, Verger G: Cutaneous alternariosis treated with miconazole . Arch Dermatol 1981;117:292-294.Crossref 22. Rubio Calvo MC, Martín López J, Gómes Lus R: Granuloma dermico por Alternaria tenuissima en un paciente inmunodeprimido . Ponencias 8, Congreso Nacional de Microbiología, Madrid, 1981, p 224. 23. Verret J-L, Gaborieau F, Chabasse D, et al: Alternariose cutanée révélatrice d'une maladie de Cushing: Un cas avec étude ultrastructurale . Ann Dermatol Venereol 1982;109:841-846. 24. Kawaguchi T, Nakayama H, Shimao S, et al: A case of cutaneous alternariosis (dermal type) . Jpn J Med Mycol 1982; 23:84. 25. Renault JJ, Le Duigou D, Doby JM, et al: Alternariose cutanée . Presse Med 1983;12:2059. 26. Mitchell AJ, Solomon AR, Beneke ES, et al: Subcutaneous alternariosis . J Am Acad Dermatol 1983;8:673-676.Crossref 27. Del Palacio Hernanz A, Conde-Zurita JM, Reyes Pecharroman S, et al: A case of Alternaria alternata (Fr) Keissler infection of the knee . Clin Exp Dermatol 1983;8:641-646.Crossref 28. Puissant A, Badillet G, Maleville J, et al: Alternariose cutanée chez un enfant . Ann Dermatol Venereol 1984;111:753-754. 29. Bourlond A, Alexandre G: Dermal alternariosis in a kidney transplant recipient . Dermatologica 1984;168:152-156.Crossref 30. Laudren A, Chevrant-Breton J, Pichard J-P, et al: Alternariose cutanée chez un transplanté rénal: Un nouveau cas . Ann Dermatol Venereol 1985;112:255-257. 31. Meraud JP, Guiguen CL, Couprie B, et al: Une alternariose cutanée d'evolution prolongée . Bull Soc Fr Mycol Med 1985;14:205-208. 32. Male O, Pehamberger H: Die Kutane Alternariose: Fallberichte und Literaturübersicht . Mykosen 1985;28:278-305.Crossref 33. Smandia JA, Viguera J, Casanovas RM, et al: Lesiones granulomatosas por Alternaria . Actas Dermo-Sifiligr 1985; 76:581. 34. Nameki H, Saito Y: Cutaneous alternariosis . Hifubyoh-Shinryoh 1986;8:641-642. 35. Di Silverio A, Sacchi S: Cutaneous alternariosis: A rare chromohyphomycosis: Report of a case . Mycopathologia 1986; 95:159-166.Crossref 36. Simal E, Navarro M, Rubio MC, et al: Sobre un caso de alternariasis cutánea . Actas Dermo-Sifiligr 1986;77:252-256. 37. Viviani MA, Tortorano AM, Laria G, et al: Two new cases of cutaneous alternariosis with a review of the literature . Mycopathologia 1986;96:3-12.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Dec 1, 1988

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