Dynamic Observation of Atypical Sporotrichosis Before and After Itraconazole Treatment by Dermoscopy

Qinqin Tang, Yanjun Zhou, Yujuan Chen, Jie Chen, Xincai Xiong Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, Nanchong, People’s Republic of ChinaCorrespondence: Xincai Xiong, Department of Dermatology, Affiliated Hospital of North Sichuan Medical College, No. 1 Maoyuan South Road, Shunqing District, Nanchong City, Sichuan Province, 637000, People’s Republic of China, Tel +86 13551686620, Email xiongxincai@163.comAbstract: Sporotrichosis is a deep fungus infection caused by the Sporothrix. In China, the most common species is Sporothrix globosa which is difficult to treat with most antifungal drugs. Atypical clinical forms of sporotrichosis can be a hinder to clinicians for an early diagnosis and treatment. We report a case of fixed cutaneous sporotrichosis of the face caused by S. globosa in a healthy adult that was initially misdiagnosed as rosacea due to its unusual clinical features. We made an effort to dermoscopically track changes in skin lesions both before and after treatment, confirming that itraconazole was effective in the treatment of sporotrichosis.Keywords: skin disease, dermatology, sporotrichosis, fixed cutaneous sporotrichosis, dermoscopy, Sporothrix globosa, fungus infection