What is your diagnosis? Deba P Sarma, MD Omaha

M 75, left hand lesion Acute folliculitis and perifollicular abscess

Yeast and hyphae in the hair follicle (PAS-fungus stain)

Yeast and hyphae in the abscess (PAS-fungus stain)

Diagnosis: Deep fungal folliculitis (Majocchi's granuloma) Deep dermal folliculitis, perifollicular abscess and granulomatous inflammation with PAS positive fungal hyphae and yeasts within the hair follicles and the perifollicular inflammatory exudate. Deep dermal folliculitis, perifollicular abscess and granulomatous inflammation with PAS positive fungal hyphae and yeasts within the hair follicles and the perifollicular inflammatory exudate. Fungal infection of the skin Fungal infection of the skin –Incidence linked with contiguous dermatophytosis, immunosuppression, & use of topical steroids Trichophyton rubrum Trichophyton rubrum –Most commonly implicated dermatophyte Common on the legs of young women who frequently shave Common on the legs of young women who frequently shave