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Article
December 1977

Cutaneous Mycosis Caused by Paecilomyces lilacinus

Author Affiliations

From the Department of Dermatology, University of Osaka (Japan) School of Medicine (Dr Takayasu); the Department of Dermatology, Yao City Hospital, Osaka (Dr Akagi); and the Central Laboratory for Clinical Investigation of Osaka University Hospital (Ms Shimizu).

Arch Dermatol. 1977;113(12):1687-1690. doi:10.1001/archderm.1977.01640120055008
Abstract

• A 20-year-old woman had erythematous scaly plaques persistent for 15 years on the left cheek. Cultures from scales and biopsy specimens on Sabouraud's glucose agar repeatedly yielded floccose lilac colonies, and those on a Czapek's solution agar plate developed deep purplish red pigment, which is characteristic of Paecilomyces lilacinus. The PAS stain of the tissue section showed ovoid, divergent, or club-shaped fungal elements among the inflammatory cells or in giant cells. Two months after the patient and a control subject were inoculated with the isolates, P lilacinus could be reisolated from the patient only. Oral administration of griseofulvin significantly reduced erythema and papules. This is the first report, to our knowledge, of deep cutaneous mycosis caused by P lilacinus.

(Arch Dermatol 113:1687-1690, 1977)

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