{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T15:43:24Z","timestamp":1772984604868,"version":"3.50.1"},"reference-count":6,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T00:00:00Z","timestamp":1762473600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    A 50\u2010year\u2010old, previously healthy male presented with a five\u2010month history of a progressively enlarging erythematous papule on the nose, which evolved into a verrucous plaque on the face. He reported weight loss without fever, arthralgias, or other systemic symptoms. Physical examination revealed confluent verrucous plaques on the face, gingival stomatitis with a moriform appearance, an erythematous plaque on the palate, and bilateral cervical lymphadenopathy. Histopathological exam showed multiple budding yeast cells arranged in a characteristic \u201cmariner's wheel\u201d pattern, consistent with\n                    <jats:italic>Paracoccidioides<\/jats:italic>\n                    spp. The diagnosis of paracoccidioidomycosis was established. This case highlights the importance of including paracoccidioidomycosis in the differential diagnosis of patients with polymorphic mucocutaneous lesions residing in endemic regions.\n                  <\/jats:p>","DOI":"10.1111\/ijd.70143","type":"journal-article","created":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T14:04:37Z","timestamp":1762524277000},"page":"433-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Polymorphic Mucocutaneous Lesions on the Face: A Diagnostic Challenge"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-3073-0266","authenticated-orcid":false,"given":"Mart\u00edn Alfonso","family":"V\u00e1squez Zuloaga","sequence":"first","affiliation":[{"name":"Institute of Dermatology Professor Rubem David Azulay  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3158-0832","authenticated-orcid":false,"given":"Felipe","family":"Aguinaga","sequence":"additional","affiliation":[{"name":"Institute of Dermatology Professor Rubem David Azulay  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2118-653X","authenticated-orcid":false,"given":"Eduardo Mastrangelo","family":"Marinho Falc\u00e3o","sequence":"additional","affiliation":[{"name":"Institute of Dermatology Professor Rubem David Azulay  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9013-9417","authenticated-orcid":false,"given":"Danielle","family":"Quintella","sequence":"additional","affiliation":[{"name":"Institute of Dermatology Professor Rubem David Azulay  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3331-5290","authenticated-orcid":false,"given":"Tullia","family":"Cuzzi","sequence":"additional","affiliation":[{"name":"Institute of Dermatology Professor Rubem David Azulay  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2502-1249","authenticated-orcid":false,"given":"Regina","family":"Schechtman","sequence":"additional","affiliation":[{"name":"Institute of Dermatology Professor Rubem David Azulay  Rio de Janeiro Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2024.03.056"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11046-022-00704-y"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.3390\/jof9020218"},{"issue":"10","key":"e_1_2_7_5_1","article-title":"Paracoccidioidomycosis: What we Know and What Is New in Epidemiology, Diagnosis, and Treatment","volume":"8","author":"Pe\u00e7anha P. M.","year":"2022","journal-title":"Journal of Fungi (Basel, Switzerland)"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1128\/cmr.00233-21"},{"key":"e_1_2_7_7_1","first-page":"765","volume-title":"Weedon's Skin Pathology","author":"Patterson J. 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