Histopathology of cutaneous and mucosal lesions in human paracoccidioidomycosis

Autor: Fabio Uribe, Angela I. Zuluaga, Walter León, Angela Restrepo
Jazyk: angličtina
Rok vydání: 1987
Předmět:
Zdroj: Revista do Instituto de Medicina Tropical de São Paulo, Vol 29, Iss 2, Pp 90-96 (1987)
Druh dokumentu: article
ISSN: 1678-9946
0036-4665
DOI: 10.1590/S0036-46651987000200005
Popis: Biopsies from cutaneous and mucosal lesions from 40 patients with active paracoccidioidomycosis, were studied histopathologically. All cases exhibited chronic granulomatous inflammation and 38 also presented suppuration; this picture corresponded to the mixed mycotic granuloma (MMG). Pseudoepitheliomatous hyperplasia and the transepidermic (or epithelial) elimination of the parasite, were observed in all cases. In paracoccidioidomycosis elimination takes place through formation of progressive edema, accompained by exocytosis. The edema gives rise to spongiosis, microvesicles and microabscesses which not only contain the fungus but also, various cellular elements. Cells in charge of the phagocytic process were essentialy Langhans giant cells; PMN's, epithelioid and foreign body giant cells were poor phagocytes. An additional finding was the presence of fibrosis in most biopsies.
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