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Case for diagnosis. Pruritic erythematosquamous lesion in the auricle How to cite this article: Melo ED, Morais PM, Fernandes DCL, Rebello PFB. Case for diagnosis. Pruritic erythematosquamous lesion in the ear. An Bras Dermatol. 2020;95:521-3. ,☆☆ ☆☆ Study conducted at the Fundação de Dermatologia Tropical e Venereologia Alfredo da Matta, Manaus, AM, Brazil.

Abstract

Chromoblastomycosis is a subcutaneous mycosis with chronic evolution that mainly affects the lower limbs and, less frequently, the auricles. Clinically, it presents with papillary verrucous, nodular, and/or tumoral lesions, whether isolated or infiltrated, forming plaques and, sometimes, atrophic in some areas. Histopathologically, it is characterized by a dermal granulomatous inflammatory infiltrate, and the diagnosis can be confirmed by the presence of fumagoid bodies in anatomopathological or direct mycological exams. The treatment to be indicated will depend on the extent and location of the lesions, using systemic antifungals, surgical removal, cryotherapy, thermotherapy, and immunoadjuvants. The present study reports an atypical presentation of chromoblastomycosis on the auricle.

KEYWORDS
Auricle; Chromoblastomycosis; Ear, external; Mycosis

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