title: Palpebral paracoccidioidomycosis.
abstract: This paper describes two cases of eyelid paracoccidioidomycosis (South American blastomycosis) in which it was the first signal of the disease. In both cases the first clinical diagnosis made was not a fungal infection, but a neoplastic disease that was not confirmed by the pathology study. In the first patient we suspected a primary infection on the eyelid, because there was no other systemic signs of the disease, and in the second patient we noted a very advanced pulmonary lesions caused by the Paracoccidioides brasiliensis. We believe that, in endemic areas, the histopathological study should be made before every excisional procedures to avoid unnecessary palpebral mutilation.
authors.affiliation: Ophthalmology Department, São Paulo Federal University, Paulista School of Medicine (EPM), Brazil.
authors.forename: S V
authors.initials: SV
authors.lastname: Burnier
authors.forename: A E
authors.initials: AE
authors.lastname: Sant'Anna
mesh_terms: D000328:Adult; D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005141:Eyelid Diseases / Q000188:drug therapy / Q000382:microbiology* / Q000601:surgery; D005142:Eyelid Neoplasms / Q000175:diagnosis; D006801:Humans; D007654:Ketoconazole / Q000627:therapeutic use; D008297:Male; D010229:Paracoccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery
chemical_list: D000935:Antifungal Agents; D007654:Ketoconazole