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Daniel H. Connor, MD; Dean W. Gibson, PhD
Department of Infectious and Parasitic Disease Pathology Armed Forces Institute of Pathology Washington, DC 20306

Arch Dermatol. 1985;121(2):168.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

In the January ARCHIVES Tschen et al¹ described two fungal lesions associated with splinters, calling the lesions "chromomycosis." We believe, as do these authors, that chromomycosis probably begins when fungi of the dematiacious group are carried into the dermis by penetrating splinters or slivers. The two lesions they described, however—without getting mired down in definitions—more closely resemble phaeomycotic cyst^2-4 than chromomycosis.⁵ The following clinicopathologic features support this: (1) clinically, the lesions of their patients lacked epidermal involvement; (2) histologically, the lesions lacked pseudoepitheliomatous hyperplasia characteristic of chromomycosis; (3) an inflammatory infiltrate characteristic of chromomycosis (both suppurative and granulomatous inflammation, with eosinophils, and concentrated in the upper dermis) was apparently not present; and (4) their patients' lesions contained obvious foreignbody splinters, a feature more characteristic of phaeomycotic cyst (eg, Figs 18,19⁵). Finally, the pigmented fungi in their two lesions appear polymorphous, with pseudohyphae and . . . [Full Text PDF of this Article]

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