title: Paracoccidioidomycosis: chronic adult unifocal form.
abstract: Paracoccidioidomycosis is a highly prevalent systemic mycosis in Brazil. The primary cutaneous form is rare and occurs in the absence of pulmonary involvement. Lesions located in the distal regions of the lower limbs are not uncommon and particularly in the feet may go unnoticed or even be confused with infectious or neoplastic lesions of different etiologies. We report a case of paracoccidioidomycosis affecting the left great toe of a man, leading to complete destruction of the nail plate. Treatment was done with the sulfamethoxazole plus trimethoprim with excellent results.
authors.affiliation: Research Center of the Nail of the Institute of Dermatology Prof. Azulay-Santa Casa da Misericœrdia do Rio de Janeiro, RJ, Brazil. robertha_nakamura@yahoo.com.br
authors.forename: Robertha
authors.initials: R
authors.lastname: Nakamura
authors.forename: Nanashara
authors.initials: N
authors.lastname: Valgas
authors.forename: Raquel Murad
authors.initials: RM
authors.lastname: Bichara
authors.forename: Deborah
authors.initials: D
authors.lastname: Brazuna
authors.forename: Andreia
authors.initials: A
authors.lastname: Leverone
mesh_terms: D001938:Brazil; D002908:Chronic Disease; D005533:Foot Dermatoses / Q000473:pathology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010229:Paracoccidioidomycosis / Q000473:pathology*; D014034:Toes