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A Case of Cutaneous Protothecosis
김태윤,박영민,김형옥,장인강,양종규,김중원 대한피부과학회 1996 Annals of Dermatology Vol.8 No.1
Protothecosis is a rare cutaneous soft tissue infection caused by the genus prototheca, most commonly Prototheca wickerhamii. An 80-year-old woman has had a painful or tender, non-healing, eczematous plaque on the extensor surface of the left forearm for 4 years. A biopsy specimen revealed the characteristic thick-walled morulalike sporangia in the dermis. P. wickerhamii was isolated in the culture and the biochemical studies. Electron microscopic examination showed the thick-walled spores containing dark dense bodies and amyloplasts. Oral itraconazole therapy for 4 weeks resulted in a marked improvement of the skin lesion.