Property | Value |
Name | Recurrent Rhinosporidiosis with scalp involvement |
Description | Case Report:-Otorhinolaryngology Dutta Sumanta K1* , Nandy Sumit2 , Chakraborty Debdulal3 & Basu Keya4. 1Associate Professor, 3Assistant Professor, Department of Otorhinolaryngology, ,2Demonstrator, 4Professor & Head, Department of Pathology, Calcutta National Medical College & Hospital, Kolkata, West Bengal, India.
Abstract:- Rhinosporidiosis is a chronic granulomatous disease of the muco-cutaneous tissue, which clinically presents as polypoidal growths. Cutaneous lesions are infrequent and are generally associated with mucosal lesions. We present a case of scalp rhinosporidiosis in association with recurrent nasopharyngeal rhinosporidiosis in a 52 year old male patient. He presented with nasal mass, nasal obstruction, episodes of epistaxsis and dysphagia to solid foods. This was accompanied with two small flesh coloured warty polypoidal lesions over the scalp. Past history revealed similar type of nasal complaints for last 35 years for which he was operated 13 times before in different hospitals! Histopathology of the cutaneous and nasopharyngeal masses revealed numerous sporangia containing spores of various sizes in a vascular connective tissue, confirming the diagnosis of cutaneous and nasopharyngeal rhinosporidiosis. Because of rarity of skin involvement (particularly scalp) and noting the high frequency of recurrence of this disease, this case has been reported.
Key words:- Cutaneous rhinosporidiosis, Nasopharyngeal, Recurrence, Scalp.
References:- 1.Kumari R, Laxmisha C, Thappa DM. Disseminated Cutaneous Rhinosporidiosis. Dermatology online journal 2005;11(1):19. 2.Moses JD, Shanmugham A. Epidemiological survey of rhinosporidiosis in man – a sample survey in high school located in hyperendemic area. Indian Veterinary Journal 1987;64:34-8. 3.Keefe MA, Loh KS, Chong SM, Pang YT, Soh K. Rhinosporidiosis: differential diagnosis of a large nasal mass. Otolaryngol Head Neck Surg 2001;124:121-2. 4.Fredricks DN, Jolly JA, Lepp PW, Kosek JC, Relman DA. Rhinosporidium seeberi: a human pathogen from a novel group of aquatic protistan parasites. Emerg Infect Diseases 2000;6(3):273-82. 5.Shenoy MM, Girisha BS, Bhandari SK, Peter R. Cutaneous rhinosporidiosis. Indian J Dermatol Venereol Leprol 2007;73:179-81. 6.Anoop TM, Ranjay A, Deepa PS, Sangamithra P, Jayaprakash R. Disseminated cutaneous rhinosporidiosis. J R Coll Physicians Ednib 2008;38:123-5. 7.Arseculeratne SN. Recent advances in rhinosporidiosis and Rhinosporidium seeberi. Indian J Med Microbiol 2002;20:119-31. 8.Hinshaw M, Longley JB. Fungal diseases. In: Elder DE, Elenitsas R, Johnson BL, Murphy GF editors. Lever’s Histopathology of the skin. 9th ed. Philadelphia: Lippincott Williams and Wilkins;2005:p603-34. 9.Naik K. Disseminated cutaneous rhinosporidiosis - a rare case report. Indian Journal of Medical Case Reports 2012;1(1):21-3. 10.Krishnan KN. Clinical trial of diamino-diphenyl sulphone in nasal and nasopharyngeal rhinosporidiosis. Laryngoscope 1979;89:291-5.
Copyright © 2013 Dutta Sumanta K et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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