Sarcoid-like paracoccidioidomycosis presenting with perineural granuloma
Paracoccidioidomycosis presenting as a sarcoid-like plaque may be misdiagnosed as leprosy, especially when shared endemic areas are concerned. We report the case of a Brazilian male patient presenting with an ulcerated plaque on his left ear and neighboring areas. The plaque simulated tuberculoid le...
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| Main Authors: | , |
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| Format: | Book |
| Published: |
Sociedade Brasileira de Dermatologia,
2013-12-01T00:00:00Z.
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| Summary: | Paracoccidioidomycosis presenting as a sarcoid-like plaque may be misdiagnosed as leprosy, especially when shared endemic areas are concerned. We report the case of a Brazilian male patient presenting with an ulcerated plaque on his left ear and neighboring areas. The plaque simulated tuberculoid leprosy type 1 reaction, both clinically and histopathologically. A perineural granuloma with no organisms detected by routine and Fite-Faraco staining reinforced that diagnosis. Paracoccidioidomycosis was confirmed only after a second biopsy, taken from the ulcerated area. |
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| Item Description: | 0365-0596 10.1590/abd1806-4841.20132309 |