PARACOCCIDIOIDOMYCOSIS IN HEAD AND NECK: CLINICAL AND HISTOPATOLOGICAL ANALYSIS
Aecio De A. L. Porto, Thales Eugeni, Guilherme Lippi Ciantelli, Carlos T. Chone, Albina Altemani, Agricio N. Crespo
Introduction: Paracoccidioidomycosis is a systemic disease with relevant head and neck manifestation. The current study is the largest case-series known and have been undertaken to establish the profile of Paracoccidioidomycosis in the upper aerodigestive tract. Methods: An assessment of 250 charts of patients with paracocidiodomycosis regarding age, sex, source of contagion, symptoms, smoking, alcoholism, lesion sites, involvement of cervical lymph node, type of lesion and treatment. The Fisher and Chi-square test were applied. Results: The mean age was 49,1 years, rural contagion was predominant and most affected patients were male. Smoking proved to be a significant related factor (p=0,005). A significant correlation was observed between the presence of lymph node involvement and lesions in the oral cavity (p=0,005). Conclusion: Oral cavity involvement with ulcerative mulberry-like lesions and cervical lymph node involvement in a mean age of 49 years, male, and patients who smoked were characteristic traits of paracoccidioidomycosis.
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