PDF(Pubmed)
Abstract：
Cutaneous involvement in paracoccidioidomycosis (PCM) can exhibit a highly polymorphic spectrum. The infiltrative pattern corresponds to up to 26.6% of observed skin lesions, including sarcoid-like plaques, a rare presentation of cutaneous lesions in PCM. This clinical expression is almost exclusively cutaneous, and its histology reveals a tuberculoid granuloma with a scarcity of fungi, leading to misdiagnosis as other granulomatous diseases. Here, we report a rare form of chronic multifocal paracoccidioidomycosis manifesting as sarcoid-like skin lesions misdiagnosed as granulomatous rosacea in a patient with severe systemic disease.
摘要：
皮肤受累于副角菌病（PCM）可表现出高度多态性。浸润模式相当于观察到的皮肤损伤的26.6%，包括类肉瘤样斑块,PCM中皮肤病变的罕见表现。这种临床表现几乎完全是皮肤的，它的组织学显示结核性肉芽肿缺乏真菌，导致误诊为其他肉芽肿性疾病。这里,我们报道了一种罕见形式的慢性多灶性副球藻菌病，表现为结节病样皮肤病变，误诊为肉芽肿性酒渣鼻。
