A case of disseminated cutaneous rhinosporidiosis presenting with multiple subcutaneous nodules and a warty growth

Verma, Rajesh; Vasudevan, Biju; Pragasam, Vijendran; Deb, Prabal; Langer, Vijay; Rajagopalan, Sathyamoorthy

doi:10.4103/0378-6323.98101

Cited by 6 publications

(2 citation statements)

References 5 publications

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“…This form of the disease is known to occur in both immunodeficient (HIV-positive) and immunocompetent individuals, as was noted in our study. [101112] Laryngeal and bronchial involvement [Figure 4] was seen in one case with disseminated disease. This patient had a history of previous excision of nasal/nasopharyngeal mass, and the new lesions probably were a result of drop lesions into the airway during surgery.…”

Section: Discussionmentioning

confidence: 99%

Imaging features of rhinosporidiosis on contrast CT

Prabhu

Irodi

Khiangte

et al. 2013

Indian Journal of Radiology and Imaging

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Context:Rhinosporidiosis is a chronic granulomatous disease endemic in certain regions of India. Computed tomography (CT) imaging appearances of rhinosporidiosis have not been previously described in the literature.Aims:To study imaging features in rhinosporidiosis with contrast-enhanced CT and elucidate its role in the evaluation of this disease.Materials and Methods:Sixteen patients with pathologically proven rhinosporidiosis were included in the study. Contrast-enhanced CT images were analyzed retrospectively and imaging findings were correlated with surgical and histopathologic findings.Results:A total of 29 lesions were found and evaluated. On contrast-enhanced CT, rhinosporidiosis was seen as moderately enhancing lobulated or irregular soft tissue mass lesions in the nasal cavity (n = 13), lesions arising in nasal cavity and extending through choana into nasopharynx (n = 5), pedunculated polypoidal lesions arising from the nasopharyngeal wall (n = 5), oropharyngeal wall (n = 2), larynx (n = 1), bronchus (n = 1), skin and subcutaneous tissue (n = 2). The inferior nasal cavity comprising nasal floor, inferior turbinate, and inferior meatus was the most common site of involvement (n = 13). Surrounding bone involvement was seen in the form of rarefaction (n = 6), partial (n = 3) or complete erosion (n = 3) of inferior turbinate, thinning of medial maxillary wall (n = 2), and septal erosion (n = 2). Nasolacrimal duct involvement was seen in four cases.Conclusions:Contrast-enhanced CT has an important role in delineating the site and extent of the disease, as well as the involvement of surrounding bone, nasolacrimal duct and tracheobronchial tree. This provides a useful roadmap prior to surgery.

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Section: Discussionmentioning

confidence: 99%

Imaging features of rhinosporidiosis on contrast CT

Prabhu

Irodi

Khiangte

et al. 2013

Indian Journal of Radiology and Imaging

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“…The clinical presentation can be misleading without a thorough clinical examination, especially mucosa. Multiple morphologies of cutaneous rhinosporidiosis have been described ranging from the subcutaneous nodule to ulceration,[ 1 ] warty friable verrucous papules, polypoid exophytic growths, cutaneous horn,[ 2 ] molluscum-like papules, pedunculated mass, cystic lesions, and even tumour-like nodules. [ 3 , 4 ] Pyogenic granuloma, bacillary angiomatosis, tuberculosis verrucosa cutis, cryptococcosis, cutaneous leishmaniasis, lupus vulgaris, and Kaposi sarcoma are differentials.…”

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confidence: 99%