Cutaneous protothecosis reminiscent of unilateral solar elastotic bands of forearm in an immunocompromised patient

We report a case of cutaneous protothecosis due to Prototheca wickerhamii in an elderly male with hepatocellular carcinoma (HCC), decompensated liver cirrhosis, diabetes mellitus, hypertension and coronary artery disease, who presented with a large dull erythematous plaque over right upper limb stre...

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Main Authors: Yi-Hsin Ho (Author), Yun-Wen Chiu (Author), Chen-Yi Wu (Author), Han-Nan Liu (Author)
Format: Book
Published: Wolters Kluwer Medknow Publications, 2018-06-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Yi-Hsin Ho  |e author 
700 1 0 |a Yun-Wen Chiu  |e author 
700 1 0 |a Chen-Yi Wu  |e author 
700 1 0 |a Han-Nan Liu  |e author 
245 0 0 |a Cutaneous protothecosis reminiscent of unilateral solar elastotic bands of forearm in an immunocompromised patient 
260 |b Wolters Kluwer Medknow Publications,   |c 2018-06-01T00:00:00Z. 
500 |a 1027-8117 
500 |a 10.1016/j.dsi.2017.09.004 
520 |a We report a case of cutaneous protothecosis due to Prototheca wickerhamii in an elderly male with hepatocellular carcinoma (HCC), decompensated liver cirrhosis, diabetes mellitus, hypertension and coronary artery disease, who presented with a large dull erythematous plaque over right upper limb stretching from the lower third of the distal upper arm to near the wrist. A biopsy revealed marked, band-like solar elastosis in the upper dermis, a pathologic pattern that resembles solar elastotic bands of forearm. However, the following Periodic acid-Schiff stain and fungal culture confirmed the diagnosis of protothecosis. Our finding added a new pattern to the list of the highly variable cutaneous manifestations of protothecosis. Keywords: Immunocompromise, Protothecosis, Prototheca wickerhamii, Solar elastotic bands of forearm 
546 |a EN 
690 |a Dermatology 
690 |a RL1-803 
655 7 |a article  |2 local 
786 0 |n Dermatologica Sinica, Vol 36, Iss 2, Pp 93-96 (2018) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S1027811717300484 
787 0 |n https://doaj.org/toc/1027-8117 
856 4 1 |u https://doaj.org/article/fbf6b729fbde40d698f4a78b86564acd  |z Connect to this object online.