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generally be treated by medication alone, some studies not be published and due efforts will be made to conceal
have shown successful treatment with a long course of their identity, but anonymity cannot be guaranteed.
[8]
dapsone. Surgical excision with electro‑coagulation of Financial support and sponsorship
the base of the lesion now appears to be the treatment Nil.
of choice in minimizing the risk of recurrence.
Postoperative treatment with dapsone also prevents Conflicts of interest
recurrence, which may have complications including There are no conflicts of interest.
life‑threatening dissemination and local secondary
bacterial infection. REFERENCES
In conclusion, although rhinosporidiosis is a mucosal
disease, it may affect isolated deeper structures including 1. Ashworth JH. On Rhinosporidium seeberi (Wernicke 1903), with special
reference to its sporulation and affinities. Trans R Soc Edinb 1923;53:301‑42.
the lacrimal sac, and should be kept as part of the differential 2. Mendoza L, Taylor JW, Ajello L. The class mesomycetozoea: a heterogeneous
diagnosis for all cases with pathology of the lacrimal sac. It group of microorganisms at the animal‑fungal boundary. Annu Rev Microbiol
is managed mainly by surgical excision although trans‑nasal 2002;56:315‑44.
endoscopic excision with dacryocystorhinostomy can be 3. Pushker N, Kashyap S, Bajaj MS, Meel R, Sood A, Sharma S, Konkal VL. Primary
lacrimal sac rhinosporidiosis with grossly dilated sac and nasolacrimal duct.
tried in cases with limited disease of the sac. However, Ophthal Plast Reconstr Surg 2009;25:234‑5.
more studies of the endoscopic excision are required prior 4. Deshpande AH, Agarwal S, Kelkar AA. Primary cutaneous rhinosporidiosis
to establish efficacy. Postoperative dapsone treatment can diagnosed on FNAC: a case report with review of literature. Diagn Cytopathol
help in the prevention of recurrence. Follow‑up is necessary 5. 2009;37:125‑7.
Arora R, Ramachandran V, Raina U, Mehta DK. Oculosporidiosis in Northern
as recurrence is very common. India. Indian Pediatr 2001;38:540‑3.
6. Prabhu SM, Irodi A, Khiangte HL, Rupa V, Naina P. Imaging features of
Declaration of patient consent rhinosporidiosis on contrast CT. Indian J Radiol Imaging 2013;23:212‑8.
The authors certify that they have obtained all appropriate 7. Sudasinghe T, Rajapakse RP, Perera NA, Kumarasiri PV, Eriyagama NB,
patient consent forms. In the form the patient(s) has/have Arseculeratne SN. The regional sero‑epidemiology of rhinosporidiosis in
given his/her/their consent for his/her/their images and Sri Lankan humans and animals. Acta Trop 2011;120:72‑81.
other clinical information to be reported in the journal. 8. Madke B, Mahajan S, Kharkar V, Chikhalkar S, Khopkar U. Disseminated
cutaneous with nasopharyngeal rhinosporidiosis: light microscopy changes
The patients understand that their names and initials will following dapsone therapy. Australas J Dermatol 2011;52:e4‑6.

356 Plast Aesthet Res || Vol 2 || Issue 6 || Nov 12, 2015