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©2013 UpToDate ® Print Email Clinical presentations of acute/subacute paracoccidioidomycosis Young adults with acute/subacute paracoccidioidomycosis. A. Lymphadenopathy in the supraclavicular, cervical, and submandibular regions. B. The lymphadenopathy of paracoccidioidomycosis must be differentiated from hematologic diseases, such as lymphoma. C. Ulcerating lesions on the cheek and near the ear with a verrucous appearance resulting from hematologic dissemination. D. Papulonodular and ulcerating lesions resulting from hematologic dissemination. Reproduced with permission from: Shikanai-Yasuda, MA, Queiroz Telles Filho, F, Mendes, RP, et al. Consenso em paracoccidioidomicose [Guidelines in paracoccidioidomycosis]. Revista da Sociedade Brasileira de Medicina Tropical 2006; 39:297-310. Copyright ©2006 Sociedade Brasileira de Medicina Tropical.