Cutaneous infection with Cylindrocarpon lichenicola

A 32 year old female presented with a 4 year history of on and off dry scaly lesions in the webspaces. KOH mount of the skin scrapings was positive for fungal hyphae. The fungus was isolated on Sabouraud dextrose agar and identified as Cylindrocarpon lichenicola. The patient was treated and responded to itraconazole.