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September 1972

Diagnosis and Treatment of Chromomycosis

Author Affiliations

Caracas. Venezuela

Arch Dermatol. 1972;106(3):419. doi:10.1001/archderm.1972.01620120093028

To the Editor.—  I have read with interest the article by Margaret Bayles (Arch Derm 104:476, 1971) partly because of the scarcity of the reports on chromomycosis from South Africa, which is an important endemic area.In the report by Dr. Bayles there are a few points that deserve some comment for those readers of the Archives who are not familiar with chromomycosis.From 19 cases diagnosed (14 patients were hospitalized), only seven cultures were obtained: six strains of Fonsecaea (Hormodendrum) pedrosoi and one strain of Cladosporium carrionii. When a culture was not possible, a biopsy gave the diagnosis. We emphasize the importance of the culture in the management of this malady, because the species of the parasite is important.The isolation of F pedrosoi may be taken for granted in nine of ten cases from temperate zones or from wet areas within the torrid zone; but C carrionii is