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- W1657261002 abstract "Dear. Editor,A male, 20-year-old patient with hematochezia and enteror-rhagia associated with weight loss. Colonoscopy demonstratednonspecific rectitis, and histopathological analysis was compat-ible with Crohn’s disease. The treatment was initiated and remis-sion was observed.After five months, the medication was interrupted withoutmedical advice, and recurrence of the same initial symptoms wasobserved after one month, in addition to papular lesions, some ofthem pustular, scattered throughout the body and scalp. After fivedays of immunosuppressive therapy, progression of the papularlesions, onset of intensely painful, hemorrhagic lesions in the oralmucosa, and painful lymph nodes enlargement in cervical chainswere observed. Then, the patient was transferred to the authors’institution where the assessment by the Unit of Dermatology raisedthe suspicion of paracoccidioidomycosis (PCM), confirmed by orallesions smear and silver staining demonstrating the typical pin-wheel cells. Rectosigmoidoscopy demonstrated granulomatousproctosigmoiditis and biopsy confirmed the diagnosis. Abdomi-nal computed tomography (CT) identified ileocecal mass, appen-diceal thickening with parietal contrast enhancement, adjacentperitoneal fat infiltration, mesenteric and retroperitoneal lymphnodes enlargement, besides parietal thickening of the rectum withpararectal gaseous foci at right, caused by fistulas, and perirectalfat blurring (Figure 1).He was treated with amphotericin B which, after four days,resulted in improvement of the dermatological and painful condi-tion. The tomographic follow-up revealed involution of the ileoce-cal, appendicular and rectal involvement.The Brazilian radiological literature has recently highlightedthe relevance of imaging methods in the diagnosis of the diges-tive system diseases" @default.
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- W1657261002 date "2015-04-01" @default.
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- W1657261002 title "Intestinal and appendiceal paracoccidioidomycosis" @default.
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- W1657261002 doi "https://doi.org/10.1590/0100-3984.2014.0035" @default.
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