Abstract

Abstract
Tinea versicolor is a common superficial fungal infection caused by Malassezia species, usually presenting as hypo- or hyperpigmented macules over the trunk and proximal extremities. Nodular lesions with exuberant granulation tissue formation are uncommon and may mimic neoplastic or inflammatory conditions. We report a rare case of a chronic inflammatory inguinal skin lesion diagnosed by histopathological examination as tinea versicolor associated with pyogenic granuloma. A skin punch biopsy demonstrated marked hyperkeratosis, mild parakeratosis, numerous budding yeast forms (blastoconidia), and pseudohyphae producing the characteristic "spaghetti and meatball" appearance. Dense inflammatory infiltrate, proliferating blood vessels, and necrotic tissue were also observed in the dermis, consistent with granulation tissue (pyogenic granuloma). This case emphasizes the importance of histopathological evaluation in chronic cutaneous lesions with atypical clinical presentation and highlights the role of fungal morphology in establishing an accurate diagnosis.
Keywords: Tinea versicolor, Malassezia, Skin punch biopsy, Pyogenic granuloma, Histopathology, Fungal infection.