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March 1990

Fixed Cutaneous Sporotrichosis

Author Affiliations

Hahnemann University School of Medicine MS 401 Broad & Vine Philadelphia, PA 19102-1192

Thomas Jefferson University PO Box 899 Philadelphia, PA 19105

Arch Dermatol. 1990;126(3):399-400. doi:10.1001/archderm.1990.01670270131027

To the Editor.—  Primary cutaneous sporotrichosis is the most common type of sporotrichosis caused by Sporothrix schenckii. There are two types of primary cutaneous sporotrichosis: lymphocutaneous type (75% of cases) and fixed cutaneous type (25% of cases). The usual clinical picture of the lymphocutaneous type is one of suppurative abscess with lymphangitic spread. The fixed cutaneous type is less well recognized. In this type, the lesions are restricted to the site of inoculation without any lymphatic spread.1

Report of a Case.—  A 12-year-old black girl presented to our dermatology clinic with a nontender crusted nodule on the tip of the nose. The lesion started as a small papule and subsequently grew to the size of a quarter in a 3-week period. She was otherwise well. She also denied any trauma to the nose prior to the development of the nodule.Examination revealed multiple keratotic papules coalescing into a single

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