CASE REPORT

Year: 2018 I Volume: 2 I Issue: 1 I Page: 28

Invasive aspergillosis presenting as scalp osteomyelitis: A rare case report

1Department of Dermatology Venereology and Leprology, Swai Man Singh Medical College, Jaipur, Rajasthan, India.

Corresponding Author:
Ketki Chaudhary
Department of Dermatology Venereology and Leprology, Swai Man Singh Medical College, Jaipur, Rajasthan, India

How to cite this article:
Garg R, Chaudhary K,Agrawal K, Bhargava P, Deepak Mathur D, U S Agarwal US. Quiz. JDA Indian Journal of Clinical Dermatology 2019;2:28.

A 42-year old otherwise healthy male farmer presented with a slowly spreading, small, hyperpigmented, moderately itchy, irregular shaped plaque with warty surface of 3 * 5cmsin size approximately of about 4months duration present over left leg laterally just above lateral malleoli. Dermatological examination revealed single round to oval, well defined verrucous plaque located on the lateral aspect of the lower part of his left leg. Patient couldn’t recall any history of trauma.

His physical and systemic examination were unremarkable andhematological and biochemical laboratory parameters were within normal limits. Radiological examination did not reveal any bone involvement. Biopsy revealed hyperkeratosis, acanthosis, and pseudoepitheliomatous hyperplasia, intraepidermalabcess. The reticular dermis showed granulomatous inflammatory cell infiltrate with giant cells containing several rounded, brownish (copper-colored), thick-walled structures (fig.-1). No mycelial elements were seen.

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