A 38-year-old woman who works in a leather factory in Venezuela presents with a painless nodule on her arm that has progressed over 6 months to multiple warty plaques with a "cauliflower" appearance. Vital signs: BP 118/76, HR 82, RR 16, Temp 37.2°C, SpO2 98%. Histology shows copper-colored sclerotic bodies. CXR is normal. She denies constitutional symptoms. Which of the following is the most likely diagnosis?
- A)Paracoccidioidomycosis
- B)Sporotrichosis
- C)Dermatophytosis
- D)ChromomycosisGABARITO
- E)Blastomycosis
Explicação
Chromomycosis is a chronic subcutaneous infection caused by dematiaceous (pigmented) fungi (Fonsecaea, Phialophora, Cladophialophora). Presents with slowly progressive verrucose plaques and nodules; histology shows distinctive copper-colored (brown) sclerotic ... Ver explicação completa e trilha adaptativa →