case_images: PMC5602487_01
case_images: Dystrophic nail findings and circular purple papules on patient's lower extremity prior to therapy.
case_images: CRIID2017-9196528.001.jpg
case_images: PMC5602487_01_CRIID2017-9196528.001.jpg
case_images: fig1
case_images: The patient's primary care physician noticed this rash on the entire circumference of his upper extremities and extensor surface of his thighs bilaterally (Figure 1).
case_images: (a) Haematoxylin and eosin stain demonstrating granuloma formation. (b) Periodic acid-Schiff stain demonstrating fungal hyphae.
case_images: CRIID2017-9196528.002.jpg
case_images: PMC5602487_01_CRIID2017-9196528.002.jpg
case_images: fig2
case_images: A punch biopsy of the left medial forearm and left thigh lesion demonstrated a deep fungal infection and dense suppurative and granulomatous inflammation in the dermis centered around a follicle (Figure 2(a)), with budding yeast and hyphal forms within the follicle (Figure 2(b)), which was consistent with Majocchi's granuloma.