Disseminated cutaneous rhinosporidiomas in an immunocompetent male

Abstract

Rhinosporidiosis is a chronic recurrent infective granulomatous disease of man and animals. It is endemic in India and Sri Lanka. Rhinosporidiosis is a chronic disease commonly involving the nose and nasopharynx. Cutaneous lesions, although rare, can occur due to autoinoculation or due to hematogenous spread. However, disseminated cutaneous lesions presenting as tumor-like swellings are rare. We report here a 48-year-old immunocompetent patient who had disseminated painless cutaneous tumor-like swellings over both the upper limbs, abdomen, left buttock and calf since 10 months, gradually increasing in size. On inquiring, the patient gave history of excisions and electrocauterization of subglottic and nasal polyps. Histopathological examination of these lesions was suggestive of rhinosporidiosis. The general and systemic examinations of the patient did not reveal any abnormality.

Disseminated cutaneous with nasopharyngeal rhinosporidiosis: Light microscopy changes following dapsone therapy

“…7 The treatment of nasal rhinosporidiosis includes wide local excision of the lesion followed by either electrodessication or chemical cauterization (with trichloroacetic acid) of the base of the lesions to prevent recurrence. 8 Dapsone, a bacteriostatic agent, has been used with variable success. 9 In our patient, dapsone was used at doses of between 100 mg and 150 mg daily.…”

Dermoscopy of Cylindroma

“…5,6 Cutaneous lesions, albeit rare, have been reported in the form of cutaneous horn, verrucous plaques, polypoidal growths, subcutaneous nodules, furunculoid lesions, and ecthymatoid lesions. 6,7 We report a patient with cutaneous rhinosporidiosis presenting with an ulcerated growth over the right ear lobule, with nasal involvement.…”

Disseminated cutaneous, laryngeal, nasopharyngeal, and recurrent obstructive nasal rhinosporidiosis in an immunocompetent adult: a case report and review of literature

“…This results in reactive hyperplasia of the tissue and formation of polypoidal mass. Skin involvement is extremely rare and was first described by Forsyth 9 . It usually occurs as a part of disseminated rhinosporodiosis.…”