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This monograph presents a complete study on the dental and periodontal changes caused by Paracoccidiodes brasiliensis. After a brief review of the previous knowledge on the subject, the author adds many valuable original contributions through a methodical investigation of 25 cases. Each case was carefully studied clinically, radiologically, and histologically, utilizing the most modern laboratory techniques. The author stresses the role of the oral lesions as initial symptoms of South American blastomycosis, as this occurred in 18 out of 25 cases. He discusses the possible mechanism of introduction of P. brasilienses through certain habits of rural workers, like picking their teeth with twigs, chewing stalks and leaves, etc. Periodontal symptoms simulating "pyorrhea," pain and dental mobility are common. The topographic distribution and their tendency toward localization or dissemination of the disease was carefully evaluated. Besides the gum, the more frequently affected regions were the lips, palate, floor of
Blastomicose Sul-Americana. Estudo das lesãoes dentárias e paradentárias sob o ponto de vista clínico e histopatológico. AMA Arch Derm. 1958;78(6):794–795. doi:10.1001/archderm.1958.01560120114025