Abstract
In this study we report the second occurrence of chromoblastomycosis in Libya and identify the etiological agent. A 60 year old woman, presented with a history of asymptomatic left upper limb multiple skin lesions which had healed with scars. The lesions started at the site of a previous trauma to the left hand and after a few years had spread to involve the left forearm. Upon examination non-tender multiple erythematous, verrucous infiltrated plaques on the left hand and forearm were seen. Some lesions healed with atrophic and ivory coloured scar tissue. Skin biopsy with H&E stain demonstrated pseudoepitheliomatous hyperplasia of the epidermis, with micro abscesses and a diffuse lymph mononuclear inflammatory cell. In the upper dermis thick walled coloured fungal cells were seen inside and outside the giant cells. Fungal culture showed a slow-growing dark black velvety colony. The macro and micro morphology of Cladophialophora carrionii was noted.