Visual Dermatology Clinic: Majocchis Granuloma
88 year-old male presented with a poor healing wound on his right anterior lower leg which had been ongoing for four months.
The lesion presented as a group of pustules that were well circumscribed, annular, and boggy, resembling a small carbuncle.
The lesion was biopsied and determined to be Majocchis Granuloma, a perifollicular granulomatous disease caused by T. rubrum or T. mentagrophytes.
The patient was prescribed Lamisil 250mg PO bid and two weeks later the lesions showed great improvement.
The image to the left shows the woundbefore treatment and below is the leg 10 days after oral Lamisil.