Abstract
A 68-year-old Japanese male farmer visited our clinic with large red plaques on his face and hands. The lesion started one year and half prior to his first visit to our clinic as an acneiform eruption on the left eyebrow. At that time he visited the office of a dermatologist and was diagnosed as cutaneous sarcoidosis. He was treated with topical steroids. The lesion, however, gradually enlarged and other formed. On Feb. 8, 1994, he visited our clinic. Physical examination showed large red plaques covered with crust and scaly surfaces with some erosive parts on the face and hands. Histological findings revealed granulomatous infiltration in the upper dermis, composed of lymphocytes, histiocytes, plasma cells and giant cells. Grocott staining demonstrated fungal elements in the upper dermis. Candida albicans was cultured from the skin specimen. Based on the clinical, histological, and mycological findings, the patient was diagnosed with deep cutaneous candidiasis. The lesions were cured completely with the administration of itraconazole.
