“…1,2,6 In the reported cases, the clinical manifestations are difficult to distinguish phaeohyphomycosis, chromoblastomycosis, mycobacteria, actinomycosis, nocardiosis, cutaneous squamous cell carcinoma, and Kaposi's sarcoma, therefore making a clinical diagnosis of the phaeohyphomycosis is much more difficult than other differential diagnoses. 1,2,[6][7][8] We described a typical case of cutaneous phaeohyphomycosis lesions due to Paraconiothyrium cyclothyrioides in an elderly woman. She has a history of long-term 5mg of prednisone orally daily and budesonide spray, this may lead to immunocompromised.…”