Paracoccidioidomycosis: infiltrated, sarcoid-like cutaneous lesions misinterpreted as tuberculoid leprosy.
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.
Marques
Sílvio Alencar
SA
Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil. smarques@fmb.unesp.br
Lastória
Joel Carlos
JC
Putinatti
Maria Stella de M A
MS
Camargo
Rosangela Maria Pires de
RM
Marques
Mariangela E A
ME
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