Paracoccidioidomycosis with sarcoid-like cutaneous lesion: A clinicopathological challenge
Cristiane Botelho Miranda Cárcano,
Vanessa D.’Andretta Tanaka,
Cristina Alessi,
Monise Tadin Reis,
Mariana Soares Ferreira
Affiliations
Cristiane Botelho Miranda Cárcano
Barretos Cancer Hospital, Antenor Duarte Vilela St, 1331, Barretos, Brazil; Santa Casa de Misericórdia de Barretos, Vinte e três St, 1208, Barretos, Brazil; Barretos School of Health Sciences Dr Paulo Prata - FACISB, Loja Maçônica Renovadora St, 68/100, Barretos, Brazil; Corresponding author at: Barretos Cancer Hospital, Antenor Duarte Vilela St, 1331, Barretos, Brazil
Vanessa D.’Andretta Tanaka
Barretos Cancer Hospital, Antenor Duarte Vilela St, 1331, Barretos, Brazil; Santa Casa de Misericórdia de Barretos, Vinte e três St, 1208, Barretos, Brazil
Cristina Alessi
Barretos Cancer Hospital, Antenor Duarte Vilela St, 1331, Barretos, Brazil; Santa Casa de Misericórdia de Barretos, Vinte e três St, 1208, Barretos, Brazil
Monise Tadin Reis
Barretos Cancer Hospital, Antenor Duarte Vilela St, 1331, Barretos, Brazil
Mariana Soares Ferreira
Santa Casa de Misericórdia de Barretos, Vinte e três St, 1208, Barretos, Brazil
We describe a case of sarcoid-like cutaneous paracoccidioidomycosis in a 26-year-old male, with a 10-year evolution, wrongly diagnosed as granulomatous rosacea. The correct diagnosis was only possible after the appearance of a new skin lesion with a more typical characteristic of the dermatosis, correlated with anatomopathological, laboratory and imaging exams. The clinical presentation of paracoccidioidomycosis is diverse, and the sarcoid-like form can mimic several chronic granulomatous diseases, such as sarcoidosis, tuberculoid leprosy, leishmaniasis, or tuberculosis. This presentation of cutaneous paracoccidioidomycosis is rare, and its diagnosis depends on the clinicopathological correlation, which can be a challenge for the dermatologist.