Sarcoid-like cutaneous lesions in chronic adult paracoccidioidomycosis: report of two cases

• Published in: Revista do Instituto de Medicina Tropical de São Paulo
• Main Authors: Nurimar C. Fernandes, Júlia Gomes Côrtes, Tiyomi Akitti, Danielle Carvalho Quintella, Tulia Cuzzi
• Format: Article in Journal/Newspaper
• Language: English
• Published: Universidade de São Paulo (USP)
• Subjects: Paracoccidioidomycosis; Sarcoidosis; Epidemiology; Diagnosis; Classification; Arctic medicine. Tropical medicine; RC955-962; Infectious and parasitic diseases; RC109-216; Arctic
• Online Access: https://doi.org/10.1590/s1678-9946201759036; https://doaj.org/article/86f690ff75ab4ee99da86d05c24d302b

ABSTRACT This study reports two cases of chronic paracoccidioidomycosis with sarcoid-like cutaneous lesions. The patients began the treatment in 2013 at Hospital Universitário Clementino Fraga Filho (HUCFF) of the Universidade Federal do Rio de Janeiro (UFRJ). The first case (mild form) was treated with trimethoprim-sulfamethoxazole (8 mg /kg per day, orally) for three months and, then, with half the dose for nine months; the second (moderate form), with itraconazole (200 mg per day, orally) for 12 months. We point out the rareness of the sarcoid-like cutaneous lesions and the differential diagnoses for other granulomatous diseases.