1. Paracoccidioidomycosis with sarcoid-like lesions:a diagnostic challenge
- Author
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Marilda Aparecida Milanez Morgado de Abreu, Antônio Luiz de Arruda Mattos, Joel Carlos Lastória, Maurício Mota de Avelar Alchorne, Univ Oeste Paulista, Universidade Estadual Paulista (Unesp), Lab Anat Patol & Citopatol, and Univ Nove Julho
- Subjects
Microbiology (medical) ,Host immunity ,lcsh:Arctic medicine. Tropical medicine ,Chronic granulomatous ,lcsh:RC955-962 ,030231 tropical medicine ,Virulence ,Tuberculoid leprosy ,Stain ,030207 dermatology & venereal diseases ,03 medical and health sciences ,0302 clinical medicine ,Immunity ,Leprosy ,Medicine ,Diagnostic errors ,business.industry ,Paracoccidioidomycosis ,fungi ,medicine.disease ,Diagnostic erros ,Infectious Diseases ,Immunology ,Parasitology ,business ,Skin lesion - Abstract
Made available in DSpace on 2018-11-26T17:34:41Z (GMT). No. of bitstreams: 0 Previous issue date: 2017-03-01. Added 1 bitstream(s) on 2019-10-09T18:26:46Z : No. of bitstreams: 1 S0037-86822017000200273.pdf: 2372145 bytes, checksum: a77f19b3d3f2cfc9193031dff137b61a (MD5) Clinical presentation of paracoccidioidomycosis (PCM) can be diverse. Morphology and quantity of skin lesions depends on interactions between host immunity and fungus virulence. Diagnosis can be a challenge considering that this fungus has low virulence and some individuals have immunity to microorganism, which results in well-marked granulomas without visible microorganisms. We report herein a clinical presentation of sarcoid-like PCM, initially diagnosed as tuberculoid leprosy. This rare type of PCM is often mistaken for other types of chronic granulomatous diseases. Diagnosis was confirmed after 4 years when a special stain analysis helped in the identification of the specific etiologic agent. Univ Oeste Paulista, Hosp Reg Presidente Prudente, Serv Dermatol, Presidente Prudente, SP, Brazil Univ Estadual Paulista, Fac Med Botucatu, Dept Dermatol & Radioterapia, Botucatu, SP, Brazil Lab Anat Patol & Citopatol, Presidente Prudente, SP, Brazil Univ Nove Julho, Curso Med, Disciplina Dermatol, Sao Paulo, SP, Brazil Univ Estadual Paulista, Fac Med Botucatu, Dept Dermatol & Radioterapia, Botucatu, SP, Brazil
- Published
- 2017