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Paracoccidioidomycosis manifested by sarcoid-like cutaneous lesions with severe systemic disease: a rare and
Bruna Dos Anjos Bortolini1, Rachel Bertolani do Espírito Santo1, Lucia Martins Diniz2
1Hospital Universitário Cassiano Antônio de Moraes, Departamento de Clínica Médica, Disciplina de Dermatologia, Vitória, ES, Brasil.
Abstract:
Cutaneous involvement in paracoccidioidomycosis (PCM) can exhibit a highly polymorphic spectrum. The infiltrative pattern corresponds to up to 26.6% of observed skin lesions, including sarcoid-like plaques, a rare presentation of cutaneous lesions in PCM. This clinical expression is almost exclusively cutaneous, and its histology reveals a tuberculoid granuloma with a scarcity of fungi, leading to misdiagnosis as other granulomatous diseases. Here, we report a rare form of chronic multifocal paracoccidioidomycosis manifesting as sarcoid-like skin lesions misdiagnosed as granulomatous rosacea in a patient with severe systemic disease.
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