Masson-Fontana staining for melanin confirms their presence. Culture is needed to identify the causative species. Itraconazole is the most effective antifungal drug, although not all patients respond. Flucytosine is sometimes useful for ancillary therapy, because some lesions may respond rapidly but generally relapse. Fluconazole seldom causes lesions to regress, and amphotericin B is ineffective.
Many cases require surgical excision for cure.
All rights reserved.