Deep fungal folliculitis (Majocchi’s

granuloma)
Deba P Sarma, MD
Omaha
27 F, rash on distal right lower extremity

Deep follicular inflammation

Perifollicular abscess
Perifollicular abscess, yeast and hyphae within the hair.
PAS stain shows pink fungi in the hair
Majocchi’s granuloma (Deep fungal
folliculitis)

• Fungal infection of the skin

– Incidence linked with contiguous
dermatophytosis, immunosuppression, & use of
topical steroids
• Trichophyton rubrum
– Most commonly implicated dermatophyte
• Common on the legs of young women who
frequently shave