<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-2395</journal-id>
<journal-title><![CDATA[Revista da Sociedade Portuguesa de Dermatologia e Venereologia]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Soc Port Dermatol Venereol]]></abbrev-journal-title>
<issn>2182-2395</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Dermatologia e Venereologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-23952021000300064</article-id>
<article-id pub-id-type="doi">10.29021/spdv.79.3.1364</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Paracoccidioidomycosis in an Elderly Simulating Cholangiocarcinoma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Guerra]]></surname>
<given-names><![CDATA[Isabela A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Simões]]></surname>
<given-names><![CDATA[Hisabella LP]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valle]]></surname>
<given-names><![CDATA[Annair F]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castañon]]></surname>
<given-names><![CDATA[Maria Christina MN]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Federal University of Juiz de Fora Teaching Hospital Dermatology ]]></institution>
<addr-line><![CDATA[Juiz de Fora ]]></addr-line>
<country>Brazil</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Federal University of Juiz de Fora ICB, Instituto de Ciências Biomédicas Dermatopatologia, Morphology Department]]></institution>
<addr-line><![CDATA[Juiz de Fora ]]></addr-line>
<country>Brazil</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>79</volume>
<numero>3</numero>
<fpage>64</fpage>
<lpage>68</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-23952021000300064&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-23952021000300064&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-23952021000300064&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Paracoccidioidomycosis, the most prevalent deep mycosis in Latin America, is caused by dimorphic species of the genus Paracoccidioides, affects predominantly male rural workers between 30-50 years of age and is an important cause of morbidity and mortality. It can present in two clinical forms: acute/subacute or chronic. In rare cases paracoccidioidomycosis may simulate neoplasia and must be considered as a differential diagnosis of intra-abdominal tumors in endemic areas. We report an exuberant case of subacute paracoccidioidomycosis in an elderly lady, although it is more frequent in the juvenile form. Multiple facial skin lesions were associated with a wasting syndrome and extensive adenopathy including in the hepatic area, causing bile duct dilatation simulating a cholangiocarcinoma. Skin histopathology was diagnostic and antifungal treatment allowed complete resolution of cutaneous and systemic lesions, thus highlighting the merit of the dermatologist, who was fundamental for the conclusive diagnosis and institution of specific therapy, resulting in a favorable outcome.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Paracoccidioidomicose, micose profunda mais prevalente na América Latina, causada por fungos dimórficos do género Paracoccidioides, afeta predominantemente homens trabalhadores rurais entre 30 e 50 anos de idade e é uma importante causa de morbimortalidade. Pode se apresentar de duas formas: aguda/subaguda ou crónica. Em raros casos, a paracoccidioidomicose pode simular neoplasia e deve ser considerada como diagnóstico diferencial de tumor intra-abdominal nas áreas endémicas. Reportamos um caso exuberante de paracoccidioidomicose subaguda em uma mulher idosa, embora essa apresentação seja mais frequente na forma juvenil. Múltiplas lesões cutâneas na face estavam associadas à síndrome consumptiva e extensas adenopatias incluindo região hepática, causando dilatação do ducto biliar e simulando um colangiocarcinoma. A histopatologia da pele foi diagnóstica e o tratamento antifúngico permitiu a completa resolução das lesões cutâneas e sistémicas, o que enaltece o mérito do dermatologista, que foi fundamental para o diagnóstico conclusivo e instituição de terapia específica, resultando em desfecho favorável.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cholangiocarcinoma]]></kwd>
<kwd lng="en"><![CDATA[Paracoccidioidomycosis]]></kwd>
<kwd lng="pt"><![CDATA[Colangiocarcinoma]]></kwd>
<kwd lng="pt"><![CDATA[Paracoccidioidomicose]]></kwd>
</kwd-group>
</article-meta>
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