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Sporotrichosis Of The Skin With Spontaneous Cure; Report Of A Second Case

Bargman, H. B. 1983Other/Unknown

Journal of the American Academy of Dermatology 8(2): Feb 1983; 261-262

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Case Details

Personal Characteristics

The patient was an 8-year-old white girl

Clinical Characteristics

She had developed a lesion on the upper right portion of the back in december, 1980. It started as a “pimple” and increased in size. Pathologic examination revealed granuloma formation with local areas of polymorphonuclear leukocytes and giant cells of the foreign body type. Periodic acid-schiff stain revealed a few fragments of suspected fungal hyphae. Fungal culture grew s. Schenckii.

Remission Characteristics

When the patient returned for follow-up on april 2, there was evidence of resolution which consisted of decrease in size of the lesion with shrinkage and early peripheral scar formation. When the patient was last seen on june 4, 1981, the lesion was completely healed with scar formation.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

Treatment by another physician with a course of oral penicillin and topical gentian violet was of no benefit. After careful deliberation, it was decided to withhold iodides and to start hot compresses.

Additional Notes

The patient’s mother ran a flower shop and regularly worked with moss. The patient frequently played in the shop and often asked her mother to scratch her back while there.