Mohs Micrographic Surgery for the Eradication of Phaeohyphomycosis of the Hand

Background. PHAEOHYPHOMYCOSIS is a rare mycotic infection that is caused by dematiaceous fungi requiring surgical excision or long‐term use of oral antifungal agents for treatment. Objective. To report a case of phaeohyphomycosis of the dorsal hand successfully cleared with Mohs micrographic surgery...

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Bibliographic Details
Published in:Dermatologic surgery 2004-02, Vol.30 (2), p.231-233
Main Authors: Bogle, Melissa A., Rabkin, Michael S., Joseph, Aaron K.
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Dermatomycoses - surgery
Female
General aspects
Hand
Human infectious diseases. Experimental studies and models
Humans
Infectious diseases
Medical sciences
Mohs Surgery
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Summary:Background. PHAEOHYPHOMYCOSIS is a rare mycotic infection that is caused by dematiaceous fungi requiring surgical excision or long‐term use of oral antifungal agents for treatment. Objective. To report a case of phaeohyphomycosis of the dorsal hand successfully cleared with Mohs micrographic surgery. Methods. We performed Mohs micrographic surgery on phaeohyphomycosis of the dorsal hand. The fungus was cleared in three stages of surgery. Permanent processing and special stains of the final stage confirmed eradication of the infection. Results. The patient remained free of the phaeohyphomycosis, without complications, at the 6‐month follow‐up. Conclusion. Mohs micrographic surgery is an effective, tissue‐sparing technique for the eradication of phaeohyphomycosis, potentially eliminating the need for costly long‐term antifungal therapy.
ISSN:1076-0512
1524-4725
DOI:10.1111/j.1524-4725.2004.30073.x