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December 1991

Chromomycosis on the Nose

Author Affiliations

John L. McClellan Veterans Affairs Hospital, Little Rock, Ark

Arch Dermatol. 1991;127(12):1831-1836. doi:10.1001/archderm.1991.04520010077014

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REPORT OF A CASE  In November 1988, a 52-year-old white man noted the onset of an indurated area on the bridge of his nose. He had a history of allergic contact dermatitis to nickel; therefore, he assumed that the metal bridge section of his glasses contained nickel and he bought a pair of plastic-framed glasses.Because the eruption persisted, he sought medical attention and presented to the dermatology clinic in early April 1989. It was learned that he was employed as a grounds attendant at a resort area.The patient's physical examination revealed a verrucous plaque with overlying crust involving the bridge of his nose (Figs 1 and 2). The remainder of his examination showed unremarkable findings. The findings from his serologic examinations were normal; the histopathologic examination revealed severe pseudoepitheliomatous hyperplasia and a severe chronic inflammatory and granulomatous reaction with multinucleated giant cells and intraepidermal microabscesses (Fig 3). Many

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