Durán L, Troya J, Duprez A, Fontana I, Palmeyro C, Barbarulo A

Language: Portugués
References: 7
Page: 227-230
PDF size: 645.70 Kb.

ABSTRACT

A 75-year-old male patient with a personal pathological history of type II Diabetes, who had genital lesions of years evolution: small ulcerations on an indurated base, with well-defined edges on the glans and preputial balano sulcus; at the base of the penis papular and verrucous lesions. Histopathology reported cutaneous histoplasmosis, with nodular images in the right lung and non-caseating granulomas in the liver. Chronic disseminated histoplasmosis occurs more frequently in men older than 56 years, the male/female ratio is 10:1, the predisposing factors are type II diabetes, alcoholism, smoking, and the use of immunosuppressive drugs for periods of time prolonged The prognosis varies with the different clinical forms; it is all the more serious, the more acute the evolution and the greater the commitment of immunity. We highlight the good response in our patient to treatment with Itraconazole.

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