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Dematiaceous Fungi Mimicking a Conjunctival Melanoma

descriptionPublicationkeyboard_double_arrow_right Article 01 Mar 2013Publisher:Ovid Technologies (Wolters Kluwer Health)Journal:Ophthalmic Plastic & Reconstructive Surgery, volume 29, pages e65-e66 (issn: 0740-9303,

Authors: Dan C. Zedek; John R. Perfect; W. Craig Fowler; Wiley A. Schell; Hart B. Moss;

doi: 10.1097/iop.0b013e31826c2fd7

pmid: 23250331

Dematiaceous Fungi Mimicking a Conjunctival Melanoma

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Abstract

An 85-year-old, immunocompetent man was referred to the authors due to the presence of an enlarging, pigmented mass of the conjunctiva concerning for a conjunctival melanoma. Wide excision of the mass revealed a pigmented or "dematiaceous" fungus. He was treated with topical natamycin, and the lesion healed well without any evidence of recurrence. Dematiaceous fungi should be considered in the differential for pigmented conjunctival lesions.

Related Organizations

Duke University
United States
Duke Medical Center
United States
University of North Carolina at Chapel Hill
United States

Keywords

Aged, 80 and over, Male, Conjunctival Neoplasms, Ophthalmologic Surgical Procedures, Combined Modality Therapy, Conjunctival Diseases, Diagnosis, Differential, Phaeohyphomycosis, Cryotherapy, Exophiala, Humans, Eye Infections, Fungal, Melanoma

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