Tinea nigra showing a parallel ridge pattern on dermoscopy

作者:Noguchi Hiromitsu*; Hiruma Masataro; Inoue Yuji; Miyata Keishi; Tanaka Masaru; Ihn Hironobu
来源:Journal of Dermatology, 2015, 42(5): 518-520.
DOI:10.1111/1346-8138.12830

摘要

An 18-year-old healthy female student noticed a brown macule measuring 21mm in diameter on the left palm and visited our clinic concerned about a cancerous mole. Dermoscopic examination revealed a brown, fine-dotted and granule-like structure overlapping an amorphous light brown macule. However, unlike previous cases, analysis of the high dynamic range-converted image revealed the parallel ridge pattern frequently observed in malignant melanomas. Brown mycelia were detected on direct microscopic examination; black colonies were isolated on fungal culture and the fungus was identified as Hortaea werneckii. The lesion was treated with topical ketoconazole cream, and it diminished 1month later.