Uncommon Presentation of Benign Dermatofibroma of Thigh: A Case Report

Abstract

Dermatofibromas (DF) are small, noncancerous skin lesions typically found in the dermis layer of the skin and are often composed of a variable combination of inflammatory cells, which classically present as a firm, nonpainful, skin-colored nodule on the extremities or trunk. We present a case of a 53-year-old woman with a medical history of psoriasis who had bilateral leg swelling, erythema, and dry skin for which she underwent a punch biopsy of the left thigh. The punch biopsy sample was found to be a dermatofibroma, which was negative for malignancy or atypia. The skin rash and associated symptoms were due to Candida intertrigo, which was treated with broad-spectrum antibiotics and fluconazole. Following this, she was discharged and prescribed a course of fluconazole and linezolid for continued treatment of Candida intertrigo. This case report describes a rare presentation of benign dermatofibroma.