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Tinea nigra pathology

Author: Assoc Prof Patrick Emanuel, Dermatopathologist, Auckland, New Zealand, 2013.


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Introduction

Tinea nigra is a superficial mycosis caused by Hortaea werneckii.

Histology of tinea nigra

The epidermis and dermis of the acral skin infected with tinea nigra are largely unremakarkable at low power magnification (figure 1). In the superficial aspects of the stratum corneum, numerous short, segmented hyphae and spores are seen These organisms have a characteristic brown-yellow colour on routine haematoxylin and eosin sections (figure 2, arrows).

Tinea nigra pathology

Special studies for tinea nigra

The organisms are typically easy to identify at high power with haematoxylin and eosin sections. PAS and GMS stains can also be used to highlight the morphology.

Differential diagnosis of tinea nigra pathology

Tinea – The fungal forms of tinea (dermatophyte infection) lack the characteristic brown-yellow pigment and typically shows more of an inflammatory response.

 

References

  • Pathology of the Skin (Fourth edition, 2012). McKee PH, J. Calonje JE, Granter SR

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