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Review

Dermatological aspects of rhinosporidiosis

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Pages 83-92 | Published online: 10 Jan 2014
 

Abstract

Rhinosporidial lesions in the skin are pathogenetically classified as primary, secondary and as components of disseminated disease. Estimates of the incidence of rhinosporidiosis in various sites vary between 1 and 8% of all cases of rhinosporidiosis. The disease is mainly of occupational origin after exposure to ground waters and is noncontagious and noninfectious. Cutaneous rhinosporidial lesions are diverse in morphologies, and definitive diagnosis is provided by skin-histopathology with the conventional H&E stain, while discharges are diagnosed by cytology using the periodic acid-Schiff stain. Surgery is the treatment of choice on accessible sites with single or a few nodules, supplemented with drugs, notably dapsone; multiple extensive sessile growths, when surgery is difficult, will need drug therapy. Surface application of biocides is ineffective.

Financial & competing interests disclosure

The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.

No writing assistance was utilized in the production of this manuscript.

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