Sporothrix Schenckii: a rare fungal lesion mimicking common
The patient, a 35-year-old lady, reported for a deeply fixed skin swelling in the leg. The proper diagnosis is likely to be missed if attention is concentrated only on the granulomas.

Though diagnosis is possible through Hand E stains, accurate identification of the characteristic morphological features of this fungus is essential for proper diagnosis and treatment.

Contrary to the usually held view, in this patient, unusually large number of fungal elements with varying morphology is noticed in H and E sections.

The complaint for which this 35-year-old woman sought consultation was for discoloured nodular swelling of skin over the medial aspect of her left leg. According to her, it was chronic and slowly increasing in size, On examination, the margins are ill defined and the swelling was surrounded by oedematous discoloured skin.

When it was excised surgically it measured 2.5 cm × 3.0 cm × 2.0 cm in dimension. The lesion was soft, the upper margin was well defined while lower margin was deep seated and extended into underlying fat. The entire dermis was replaced by nodules of granulomas: many of which were coalascent. Necrotic abscesses were seen more deeply.

Giant cells; a dominating feature in these nodules are large in size; larger than those seen in giant cell tumors. Epithelioid aggregates were minimal.

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