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Cromomicose: relato de caso e revisão da literatura
| Content Provider | Semantic Scholar |
|---|---|
| Author | Almeida, Ana Paula Moura De Gomes, Nathália Mota De Faria Almeida, Liana Moura De Almeida, João |
| Copyright Year | 2014 |
| Abstract | A cromomicose e uma micose profunda, cronica, com acometimento da pele e do subcutâneo. O fungo e encontrado na natureza nas plantas e no solo, sendo introduzido no organismo atraves de traumas ou ferimentos. A localizacao das lesoes e, principalmente, nos membros inferiores, podendo tambem comprometer outras regioes. Os trabalhadores rurais sao mais frequentemente acometidos por falta de protecao e exposicao continua. O objetivo deste relato foi apresentar um caso de cromomicose de evolucao cronica, fazendo diagnostico diferencial com outras doencas que causam a sindrome verrucosa (leishmaniose, esporotricose e tuberculose) e realizando breve revisao da literatura. Paciente do genero masculino, 83 anos, branco, trabalhador rural, procurou Ambulatorio de Dermatologia apresentando lesao vegetante, verrucosa, de base eritematosa, com distribuicao linear, localizada no membro superior direito com evolucao de 9 anos. As caracteristicas da lesao sugeririam como hipoteses diagnosticas doencas que causam a sindrome verrucosa LECT (iniciais de leishmaniose, esporotricose, cromomicose e tuberculose). Para confirmacao diagnostica, foi realizada biopsia da lesao e exame histopatologico, que revelou presenca de celulas arredondadas de cor castanho escuro em processo de reproducao binaria, confirmando o diagnostico de cromomicose. O paciente foi submetido ao tratamento com itraconazol e crioterapia combinados. A cromomicose possui diagnosticos diferencias em decorrencia das caracteristicas clinicas da lesao,sendo fundamentais, para sua confirmacao diagnostica, exames especificos. Chromomycosis is a deep and chronic mycosis that affects the skin and the subcutaneous tissues. The fungus is found in nature, in plants and soil, being introduced into the body through trauma or injury. Lesions occur mainly on the lower limbs, but can also involve other regions. Rural workers are more frequently affected due to lack of protection and continuous exposure. The objective of this report was to present a case of chronic chromomycosis evolution, making differential diagnosis with other diseases that cause warty syndrome (leishmaniasis, sporotrichosis and tuberculosis) and performing a brief literature review. Male patient, 83 years old, white, farm laborer, sought the Dermatology Department presenting vegetative, verrucous lesion, with erythematous base, linear distribution, located on the right upper limb, with a 9-year progression. Lesion characteristics would suggest as diagnostic hypotheses diseases that cause warty syndrome LECT (acronym in Portuguese from leishmaniasis, sporotrichosis, chromomycosis and tuberculosis). For diagnostic confirmation, a biopsy and an histopathological examination were performed and revealed the presence of round, dark brown cells in binary reproduction process, confirming the diagnosis of chromomycosis. The patient was treated with itraconazole and cryotherapy combination. Chromomycosis has differential diagnosis due to the clinical characteristics of the lesion; therefore specific tests are fundamental to confirm the diagnosis. |
| File Format | PDF HTM / HTML |
| Volume Number | 12 |
| Alternate Webpage(s) | http://files.bvs.br/upload/S/1679-1010/2014/v12n1/a4050.pdf |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
