This is a picture of a fungal granuloma, a large, red (erythematous) patch (plaque) with a prominent border. Within the borders of the lesion are scattered blisters (pustules) that indicate deeper involvement of hair follicles (Majocchi's granuloma). This dermatophyte infection was caused by Trichophyton rubrum.
Update Date 11/12/2014
Updated by: Richard J. Moskowitz, MD, dermatologist in private practice, Mineola, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.