Bone and joint lesions

dc.contributor.authorMendes, Rinaldo Poncio [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2019-10-06T17:06:24Z
dc.date.available2019-10-06T17:06:24Z
dc.date.issued2018-01-01
dc.description.abstractBone and joint involvement in paracoccidioidomycosis was first reported in 1911. Bone lesions occur at all age groups but younger patients are more frequently affected. The distribution of patients with bone lesions according to sex seems to be the same observed in cases with other involved organs. Isolated lesions are characterized by granulomatous reaction with great numbers of epithelioid and giant cells, which enclose the fungus. Disseminated lesions begin with necrosis and intense osteolysis, easily visible on radiological examination. The bone lesions are more frequent in the superior limbs and chest: clavicles, humeri, acromions, ribs, and radii. However, any bone may be affected. The etiological diagnosis of bone and joint involvement in paracoccidioidomycosis can be done by a surgical or percutaneous needle biopsy or by fine needly aspiration. Bone involvement by tuberculosis, an endemic disease in Latin America, is one of the most important differential diagnosis.en
dc.description.affiliationDiscipline of Infectious Diseases Botucatu Medical School University of the State of São Paulo (UNESP)
dc.description.affiliationUnespDiscipline of Infectious Diseases Botucatu Medical School University of the State of São Paulo (UNESP)
dc.format.extent331-337
dc.identifierhttp://dx.doi.org/10.1201/9781351075329
dc.identifier.citationParacoccidioidomycosis, p. 331-337.
dc.identifier.doi10.1201/9781351075329
dc.identifier.scopus2-s2.0-85063504505
dc.identifier.urihttp://hdl.handle.net/11449/190229
dc.language.isoeng
dc.relation.ispartofParacoccidioidomycosis
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.titleBone and joint lesionsen
dc.typeCapítulo de livro

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