title: Small vessel vasculitis as first manifestation of paracoccidioidomycosis - case report.
abstract: Paracoccidioidomycosis is a systemic disease caused by inhalation of conidia of Paracoccidioides brasiliensis, a dimorphic fungus that initially affects the airway, spreading by lymphatic and hematogenous routes to various organs and systems, and that can be fatal if the diagnosis and treatment are not correct. The authors describe a patient who presents small vessel vasculitis as an initial manifestation of the disease, which is an atypical clinical form with a single description in the literature.
authors.affiliation: Dermatology Outpatient Clinic of the General University Hospital, Cuiaba University, Brazil. alecal@terra.com.br
authors.forename: Alessandra Cristiana de Barros Figueiredo
authors.initials: AC
authors.lastname: Caldeira
authors.forename: Kelly da
authors.initials: Kd
authors.lastname: Cas
authors.forename: Taili Pedroso Lemes
authors.initials: TP
authors.lastname: Pinto
authors.forename: Camila Machado
authors.initials: CM
authors.lastname: Zômpero
authors.forename: Cacinele
authors.initials: C
authors.lastname: Pés
authors.forename: Cristian Eduardo
authors.initials: CE
authors.lastname: Guolo
mesh_terms: D000369:Aged, 80 and over; D000671:Amputation, Surgical; D000935:Antifungal Agents / Q000627:therapeutic use; D001706:Biopsy; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008297:Male; D010228:Paracoccidioides / Q000302:isolation & purification*; D010229:Paracoccidioidomycosis / Q000188:drug therapy / Q000473:pathology*; D012867:Skin / Q000382:microbiology / Q000473:pathology*; D014657:Vasculitis / Q000382:microbiology / Q000473:pathology*
chemical_list: D000935:Antifungal Agents; D017964:Itraconazole