title: Paracoccidioidomycosis: infiltrated, sarcoid-like cutaneous lesions misinterpreted as tuberculoid leprosy.
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.
authors.affiliation: Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil. smarques@fmb.unesp.br
authors.forename: Sílvio Alencar
authors.initials: SA
authors.lastname: Marques
authors.forename: Joel Carlos
authors.initials: JC
authors.lastname: Lastória
authors.forename: Maria Stella de M A
authors.initials: MS
authors.lastname: Putinatti
authors.forename: Rosangela Maria Pires de
authors.initials: RM
authors.lastname: Camargo
authors.forename: Mariangela E A
authors.initials: ME
authors.lastname: Marques
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D015441:Leprosy, Tuberculoid / Q000175:diagnosis*; D010229:Paracoccidioidomycosis / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology