Paracoccidioidomycosis: infiltrated, sarcoid-like cutaneous lesions misinterpreted as tuberculoid leprosy

The authors report a case of paracoccidioidomycosis misinterpreted as tuberculoid leprosy, both on clinical and histological examination. Sarcoid-like cutaneous lesion as the initial presentation is rare in young patient with paracoccidioidomycosis and can simulate other infectious or inflammatory diseases. On histology, tuberculoid granuloma presented similar difficulties. Treatment with dapsone, a sulfonamide derivative, could have delayed the presumed natural clinical course to the classical juvenile type of paracoccidioidomycosis, observed only 24 months after the patient had been treated for leprosy.

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Bibliographic Details
Main Authors: Marques,Sílvio Alencar, Lastória,Joel Carlos, Putinatti,Maria Stella de M.A., Camargo,Rosangela Maria Pires de, Marques,Mariangela E. A.
Format: Digital revista
Language:English
Published: Instituto de Medicina Tropical de São Paulo 2008
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652008000100010
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