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 11/20/2012
Updated by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by A.D.A.M. Health Solutions, Ebix, Inc., Editorial Team: David Zieve, MD, MHA, David R. Eltz, Stephanie Slon, and Nissi Wang.