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September 1961

Verrucous Epidermophytosis: Its Response and Resistance to Griseofulvin

Author Affiliations


Department of Dermatology, University of Miami School of Medicine.

At present in the Section of Dermatology, Royal Victoria Hospital, Montreal, Canada (Dr. Fisher). Now in the Division of Dermatology, Duke University Medical School, Durham, N.C. (Dr. Smith).

Arch Dermatol. 1961;84(3):375-380. doi:10.1001/archderm.1961.01580150021003

Dermatophytic infections usually take the form of erythematosquamous, vesicular, or, less frequently, hyperkeratotic lesions. Any combination of these lesions can be seen. Rarely a verrucous, hyperkeratotic dermatitis deviating from the typical patterns occurs. An unusual case of an extensive verrucous dermatitis, due to Epidermophyton floccosum has been treated by us. Only one similar case caused by this organism was found mentioned in the recent literature.1

Report of a Case

A 26-year-old Negro male bartender from Nassau, Bahamas, first noted in September, 1958, a small, scaly, pale lesion on the shaft of his penis, which did not respond to topical medications. His hip and neck became involved next with squamous patches, and the eruption progressively involved his trunk and extremities. Early in 1959 hyperkeratotic lesions appeared over his forehead and gradually spread to the supraorbital regions, nostrils, ears, and the upper lip. The patient was treated by several physicians and

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