Abstract
This paper describes two cases of eyelid paracoccidioidomycosis (South American blastomycosis) in which it was the first signal of the disease. In both cases the first clinical diagnosis made was not a fungal infection, but a neoplastic disease that was not confirmed by the pathology study. In the first patient we suspected a primary infection on the eyelid, because there was no other systemic signs of the disease, and in the second patient we noted a very advanced pulmonary lesions caused by the Paracoccidioides brasiliensis. We believe that, in endemic areas, the histopathological study should be made before every excisional procedures to avoid unnecessary palpebral mutilation.
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References
Del Negro G, Lacaz CS, Fiorillo AM, eds. Paracoccidioidomicose. São Paulo/São Paulo: Editora Sarvier, 1982.
Silva MRBM, Mendes RP, Lastória JC, Barraviera B, Marques SA, Kamegasawa A. Paracoccidioidomycosis: Study of six cases with ocular involviment. Mycopathologia 1988; 102: 87–96.
Kamegasawa A, Silva MRBM, Franco M, Heimbeck FJ. Paracoccidioidomicose ocular: Revisão. Arq bras Oftal 1988; 51(4): 183–185.
Vida L, Moel SA. Systemic North American blastomycosis with orbital involvement. Am J Ophthalmol 1974; 77: 240–242.
Bartley GB. Blastomycosis of the eyelid. Ophthalmology 1995; 102 (12): 2020–2023.
Dantas AM, Curi R, Lustosa T, Neto BAS, Saddy JC. Blastomicose sul americana: Apresentac¸ ão de um caso com lesão ocular. Rev bras Oftal 1971; 30: 65–72.
Jannke HA, Lopes FS, Abrahão MCY, Thofern P, Duarte AL, Holthausen ET. Blastomicose sulamericana palpebral. Rev bras Oftal 1983; 42: 87–90.
Sales M, Queiroz S. Blastomicose ocular (palpebral). Arq Inst P Burnier (Campinas) 1945; 7: 260–261.
Belfort Jr R, Fischman O, Camargo ZP, Almada A. Paracoccidioidomycosis with palpebral and conjuntival involvement. Mycopathologia 1975; 56: 21–24.
Pinheiro SRAA, Oréfice F, Mason EM. Blastomicose sulamericana: Descric¸ ão de um caso com lesões cutâneas, nasais e envolvimento do trato uveal posterior. Arq Bras Oftal 1987; 50: 66–69.
Conti-Diaz IA. Lesiones oculares en la blastomicosis sudamericana. Hospital (Rio de Janeiro) 1960; 58: 903–914.
Margo CE, Bombardier T. The diagnostic value of fungal autofluorescence. Surv Ophthalmol 1985; 29: 374–376.
Calegaro JUM, Salinas LFG, Gomes EF, Rulli E, Ulysses R, Pereira DMM, Carvalho ACM. Acompanhamento terapêutico da paracocidioidomicose por imagens com67Ga. Arq bras Med 1994; 68(6): 381–385.
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Burnier, S.V., Sant'Anna, A.E. Palpebral paracoccidioidomycosis. Mycopathologia 140, 29–33 (1997). https://doi.org/10.1023/A:1006803503033
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DOI: https://doi.org/10.1023/A:1006803503033