{Reference Type}: Case Reports
{Title}: Paracoccidioidomycosis manifested by sarcoid-like cutaneous lesions with severe systemic disease: a rare and challenging diagnosis.
{Author}: Bortolini BDA;Santo RBDE;Diniz LM;Jarske RD;Castro NT;
{Journal}: Rev Soc Bras Med Trop
{Volume}: 57
{Issue}: 0
{Year}: 2024
{Factor}: 2.141
{DOI}: 10.1590/0037-8682-0605-2023
{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.