Primary cutaneous rhinosporidiosis: an unusual lesion with an unusual presentation.

To cite: Tubachi P, Naalla R, Koduru V, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/ bcr-2015-209596 DESCRIPTION A 60-year-old man presented with painless progressively enlarging multiple cutaneous nodules for the past 6 months. On examination, multiple nodular cutaneous lesions were noted over the anterior abdominal wall, right popliteal region, right arm, nape of neck and left loin area (figures 1–5). Plaque-like lesions were noted over the left arm (figure 4). Nasopharyngeal and ophthalmological evaluations were normal. Routine haematological and biochemical parameters were within normal limits. Incisional biopsy was performed. Histopathological examination showed multiple sporangia in different stages of development and, in the inset, spores within sporangia can be seen (figure 6). However, fineneedle aspiration would have been a less invasive procedure. Subsequently, the patient underwent excision