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Chromoblastomycosis

Chronic verrucous chromoblastomycosis of the hand due to Cladophialophora carrionii.  Note tissue hyperplasia forming a white verrucoid cutaneous lesion.  In Australia, chromoblastomycosis due to C. carrionii occurs mostly on the hands and arms of timber and cattle workers in humid tropical forests.  (Courtesy Mr J. Kennedy, Toowoomba, Qld.).