CUTANEOUS ALTERNARIA-ALTERNATA INFECTION SUCCESSFULLY TREATED WITH ITRACONAZOLE

A case of cutaneous alternariosis due to Alternaria alternata in a 47- year-old man who had the CREST (calcinosis, Raynaud's phenomenon, oeso phageal dysfunction, sclerodactyly and telangiectasia) syndrome with p ulmonary hypertension is presented. The patient, who lived in a rural area and was receiving prostacycline by continuous infusion, prednison e and azathioprine for his underlying disease, showed cutaneous lesion s of the lower extremities spreading from the knees to the ankles. The patient was successfully treated with high doses of oral itraconazole .