Paracoccidioidomycosis: infiltrated, sarcoid-like cutaneous lesions misinterpreted as tuberculoid leprosy

Authors

  • Sílvio Alencar Marques Universidade Estadual Paulista; Faculdade de Medicina de Botucatu; Departamento de Dermatologia e Radioterapia
  • Joel Carlos Lastória Universidade Estadual Paulista; Faculdade de Medicina de Botucatu; Departamento de Dermatologia e Radioterapia
  • Maria Stella de M.A. Putinatti Universidade Estadual Paulista; Faculdade de Medicina de Botucatu; Departamento de Dermatologia e Radioterapia
  • Rosangela Maria Pires de Camargo Universidade Estadual Paulista; Faculdade de Medicina de Botucatu; Departamento de Dermatologia e Radioterapia
  • Mariangela E. A. Marques Universidade Estadual Paulista; Faculdade de Medicina de Botucatu; Departamento de Patologia

Keywords:

Granuloma^i1^sPathol, Leprosy, Paracoccidioidomycosis, Sarcoid Lesion

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.

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Published

2008-02-01

Issue

Vol. 50 No. 1 (2008)

Section

Case Report

How to Cite

Marques, S. A., Lastória, J. C., Putinatti, M. S. de M., Camargo, R. M. P. de, & Marques, M. E. A. (2008). Paracoccidioidomycosis: infiltrated, sarcoid-like cutaneous lesions misinterpreted as tuberculoid leprosy . Revista Do Instituto De Medicina Tropical De São Paulo, 50(1), 47-50. https://www.revistas.usp.br/rimtsp/article/view/31147