History: Chromoblastomycosis is usually a unilateral disease.There is an initial injury involving a piece of wood and soil during which a deep fungus, Cladosporium carrioni  or Fonsecaea pedrosoi, is implanted into the skin.Thereafter slow grow of the fungus occurs usually over a period of years with a verrucous skin lesion resulting.The best treatment is early surgical excision but if this would be too extensive Itraconazole orally 100mgs daily over 12 months may be successful.