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Correspondence to Author:  Abdullah N. Maarouf PhD, Mette Eline Brunbjerg, Sinem Saritas, Jon Erik Fraes Diernaes. 

Abdullah N. Maarouf, Dept. of Plastic Surgery, Aalborg University Hospital.
PhD, Mette Eline Brunbjerg, Specialist at Dept. Of Plastic Surgery, Aalborg University Hospital
Sinem Saritas, Dept. Of Plastic Surgery¸ Aalborg University Hospital
Jon Erik Fraes Diernaes, Specialist, Dermatology, Dag Hammarskjølds Gade 4.2 sal. 9000 Aalborg Denmark, Aalborg 9000, Soendre skovvej 3 Aalborg University Hospital.

DOI: 10.52338/aods.2025.4472

Abstract:

Chromoblastomycosis (CBM) is a rare, chronic fungal infection affecting the skin and subcutaneous tissues, predominantly encountered in tropical regions. This case report describes a 55-year-old male from Northern Europe who developed CBM following a rose thorn injury. Initially misdiagnosed as lichen simplex chronicus, the lesion progressed over two years, eventually requiring a biopsy that confirmed CBM through the presence of pathognomonic fumagoid cells. Treatment involved a combination of antifungal therapy with Itraconazole and surgical excision, followed by skin grafting. Despite initial graft failure due to a bacterial infection, a subsequent split-thickness skin graft healed successfully. This case underscores the importance of considering CBM in differential diagnoses of chronic verrucous lesions, even in non-endemic regions, and highlights the need for a multidisciplinary approach in management. The report also emphasizes the challenges in early diagnosis and the potential for recurrence, advocating for long-term follow-up and innovative treatment strategies.

Citation:

Dr. Abdullah N. Maarouf, A Case Of Chromoblastomycosis - Clinical Management And Outcomes. Annals of Dermatological Science 2025.