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To the Editor.—
I wish to present an 11-year-old Japanese boy with a fixed type of cutaneous sporotrichosis on the face. In the tissue section there was a spore with a stripe suggestive of a septum, which is usually found in chromoblastomycosis, and not in sporotrichosis.He noted a small nodule on his left lower eyelid one year before. It gradually increased in size and formed an ulcerated lesion, which developed into a large ulcer with a purulent discharge. The lesion was completely excised and skin grafting was done by a local doctor. Two months later several pustules and soft granulomatous lesions reappeared on the margin of the grafted area.A small amount of pus collected from two fistular lesions and fragments of the granulomatous lesion were streaked or placed on Sabouraud's glucose agar slants, and maintained at 27 C. In a few days, moist, creamy-white mat colonies grew out.
Yamada M. CUTANEOUS SPOROTRICHOSIS. Arch Dermatol. 1969;100(3):384. doi:10.1001/archderm.1969.01610270126026