2012
DOI: 10.1590/s0365-05962012000300025
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Abstract: Paracoccidioidomycosis is a chronic, subacute or rarely acute mycosis, with visceral and cutaneous involvement. It is potentially fatal. Children account for about 5-10% of cases. In this study, we describe the relevance of discussing possible differential diagnoses as well as the importance of early treatment. Keywords: Child; Granuloma; Paracoccidioidomycosis Resumo: Paracoccidioidomicose é uma micose crônica, subaguda ou raramente aguda, com comprometimento visceral e tegumentar, sendo potencialmente fatal.… Show more

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Cited by 13 publications
(5 citation statements)
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“…1 Sarcoid-like plaques are occasionally seen and may lead to misdiagnosis, being misinterpreted as other granulomatous conditions such as tuberculoid leprosy, leishmaniasis, and sarcoidosis. 1-3 The perineural granuloma and clinical presentation strongly suggested leprosy in our case; however, perineural inflammation may also occur in other infections such as syphilis and herpesvirus infections. 4 We could not find reports on granulomatous perineural infiltrates in PCM in the literature.…”
supporting
confidence: 51%
“…1 Sarcoid-like plaques are occasionally seen and may lead to misdiagnosis, being misinterpreted as other granulomatous conditions such as tuberculoid leprosy, leishmaniasis, and sarcoidosis. 1-3 The perineural granuloma and clinical presentation strongly suggested leprosy in our case; however, perineural inflammation may also occur in other infections such as syphilis and herpesvirus infections. 4 We could not find reports on granulomatous perineural infiltrates in PCM in the literature.…”
supporting
confidence: 51%
“…44,45 This is the typical dermatologic manifestation of PCM, with a clinical expression almost exclusively cutaneous, showing infiltrated, well-delimited and cephalic lesions that may be clinically and histologically mistaken by hanseniasis (Figure 7). Histology in these cases shows a tuberculoid, granulomatous, inflammatory pattern with a paucity of fungi.…”
Section: Clinical Presentationmentioning
confidence: 99%
“…Some authors 4,5,6 believe that the sarcoid form is determined by good specific immunity against Paracoccidiodes spp. The biggest challenge in infectious granulomatous diseases without obvious etiology is endurance and persistence in research until the agent is found 4 , besides the inherent difficulties in the diagnosis of cutaneous sarcoidosis itself.…”
Section: Discussionmentioning
confidence: 99%