Fundação de Dermatologia Tropical Heitor Vieira Dourado, Manaus, AM, Brazil.
Fundação de Dermatologia Tropical Heitor Vieira Dourado, Manaus, AM, Brazil.
An Bras Dermatol. 2021 Nov-Dec;96(6):762-764. doi: 10.1016/j.abd.2021.05.004. Epub 2021 Sep 25.
Lobomycosis is a chronic granulomatous infection caused by the yeast Lacazia loboi, typically found in tropical and subtropical geographical areas. Transmission occurs through traumatic inoculation into the skin, especially in exposed areas, of men who work in contact with the soil. Lesions are restricted to the skin and subcutaneous tissue, with a keloid-like appearance in most cases. The occurrence of squamous cell carcinoma on skin lesions with a long evolution is well known; however, there are scarce reports of lobomycosis that developed into squamous cell carcinoma. The authors report a patient from the Brazilian Amazon region, with lobomycosis and carcinomatous degeneration, with an unfavorable outcome, due to late diagnosis.
利什曼原虫病是一种由酵母 Lacazia loboi 引起的慢性肉芽肿感染，通常在热带和亚热带地理区域发现。传播途径是通过创伤性接种到皮肤中，特别是在从事与土壤接触工作的男性暴露部位。病变仅限于皮肤和皮下组织，在大多数情况下呈瘢痕疙瘩样外观。皮肤病变演变过程中发生鳞状细胞癌是众所周知的；然而，关于发展为鳞状细胞癌的利什曼原虫病的报道很少。作者报告了一名来自巴西亚马逊地区的患者，患有利什曼原虫病和癌变性，由于诊断较晚，预后不佳。
