Mysterious Leg Lesions on a Farmer

A 41-year-old farmer presents with a 20-year history of slowly growing, pruritic, verrucous lesions on his leg. What is the diagnosis?

Chromoblastomycosis


A 41-year-old farmer presented with a 20-year history of slowly growing lesions on the right leg that progressed over time to cause gait abnormality. The lesions were initially painless, pruritic papules on the knee and gradually spread to the dorsum of the foot. Physical examination revealed palpable, coalescent, subcutaneous nodules with verrucous lesions and associated skin changes. What is the diagnosis?

What is the most likely diagnosis?

Verruca vulgaris
Hansen’s disease
Phytophotodermatitis
Epidermodysplasia verruciformis
Chromoblastomycosis

Chromoblastomycosis, Dermatology, Fonsecaea pedrosoi, Fungal Infection, Medlar Bodies

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