PHAEOHYPHOMYCOTIC CYST- A RARE SUBCUTANEOUS PRESENTATION

Abstract

A  48 year old female came with c/o swelling in R leg for 4 years. No H/o penetrating trauma. No H/o pain over the swelling. No H/o swelling anywhere in the body. Patient a known diabetic for 4 years on medications. Patient was previously treated with therapeutic aspiration of the swelling – in the culture showed septate hyphae s/o phaeohyphomycosis. Patient was treated with Tab itraconazole. Patient is a known HBSAG+ve. No other comorbids. On examination 8*6cm swelling over postero lateral aspect of right leg. Oval in shape ,smooth surface, skin over swelling is normal. On palpation swelling is not warm, not tender and fluctuant. On investigation HFUSG- cystic swelling in subcutaneous plane. FNAC- showed septate hyphae. Patient was proceeded with excision with post op Tab itraconazole. On follow up showed no relapse.