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

Author:

Marques Sílvio Alencar1,Lastória Joel Carlos1,Putinatti Maria Stella de M.A.1,Camargo Rosangela Maria Pires de1,Marques Mariangela E. A.1

Affiliation:

1. Universidade Estadual Paulista, Brasil

Abstract

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.

Publisher

FapUNIFESP (SciELO)

Subject

Infectious Diseases,General Medicine

Reference14 articles.

1. Hanseníase no Brasil;ARAUJO M.G.;Rev. Soc. bras. Med. trop.,2003

2. Dapsone hypersensitivity syndrome in an adolescent during treatment of leprosy;BUCARETCHI F.;Rev. Inst. Med. trop. S. Paulo,2004

3. Paracoccidioidomicose: inoculação acidental "in anima nobile". Relato de um caso;CASTRO R.M.;Med. cut. ibero lat.-amer.,1975

4. Hanseníase: aspectos clínicos, imunológicos e terapêuticos;FOSS N.T.;An. bras. Derm.,1999

5. Paracoccidioidomycosis: a recently proposed classification of its clinical forms;FRANCO M.;Rev. Soc. bras. Med. trop.,1987

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