Description: Clinical image

History: This man presented with a pigmented macule which had been noticed to be present for 2 years and to be slowly enlarging. This condition is caused by Exophiala werneckii. It is most commonly found on the palms or palmar surfaces of the fingers and less commonly the plantar or lateral surfaces of the feet. ( Ref Skin Pathology - Weedon 2nd edition page 674)