{"entities":{"Q38412":{"pageid":28778,"ns":120,"title":"Item:Q38412","lastrevid":112362,"modified":"2026-08-13T03:26:34Z","type":"item","id":"Q38412","labels":{"mul":{"language":"mul","value":"1F2E.1"},"pt-br":{"language":"pt-br","value":"Paracoccidioidomicose disseminada"},"en":{"language":"en","value":"Disseminated paracoccidioidomycosis"}},"descriptions":{"pt-br":{"language":"pt-br","value":"Paracoccidioidomicose disseminada resulta da dissemina\u00e7\u00e3o hematog\u00eanica e linf\u00e1tica de leveduras a partir dos pulm\u00f5es e do trato aerodigestivo. O envolvimento cut\u00e2neo, observado em 25% dos casos, apresenta-se como p\u00e1pulas crostosas, \u00falceras, n\u00f3dulos e placas verrucosas. A linfadenopatia ocorre comumente na regi\u00e3o cervical, mas todas as cadeias de linfonodos podem estar envolvidas. As gl\u00e2ndulas adrenais s\u00e3o comumente afetadas com um risco significativo de insufici\u00eancia adrenal e crise Addisoniana. Ossos longos, como costelas, \u00fameros e clav\u00edculas podem estar envolvidos. O envolvimento de linfonodos mesent\u00e9ricos pode levar \u00e0 obstru\u00e7\u00e3o intestinal. A meningoencefalite ocorre em at\u00e9 um quarto dos casos."},"en":{"language":"en","value":"Disseminated paracoccidioidomycosis results from haematogenous and lymphatic dissemination of yeasts from the lungs and aerodigestive tract. Cutaneous involvement, seen in 25% of cases, presents as crusted papules, ulcers, nodules, and verrucous plaques. Lymphadenopathy occurs commonly in the cervical region, but all lymph node chains can be involved. Adrenal glands are commonly affected with a significant risk of adrenal insufficiency and Addisonian crisis. Long bones such as ribs, humeri, and clavicles can be involved. Mesenteric lymph node involvement can lead to bowel obstruction. Meningoencephalitis occurs in up to one quarter of cases."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"b2864e719c36c4514227cf7b01659b738a7bbe8c","datavalue":{"value":"https://id.who.int/icd/entity/992933048","type":"string"},"datatype":"url"},"type":"statement","id":"Q38412$DC5B1C6D-ECCB-4C68-B4A3-17EEC2B406E5","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"b15b0ff894173fc10ed1cab5f5385a49b18d2cd7","datavalue":{"value":"CID11:1F2E.1","type":"string"},"datatype":"string"},"type":"statement","id":"Q38412$221D5DD7-8878-403D-8CD9-CFBFD876BC39","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"33cdc92ad76906df2d858404e81e2f74de627f6f","datavalue":{"value":"dki-india-1F2E.1","type":"string"},"datatype":"string"},"type":"statement","id":"Q38412$672E3B50-6F49-4AA3-99F7-C943F629F0E0","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q38412$5B434A1B-5468-4723-868C-96C74A82C54A","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q38412$7C964BCD-C886-4705-AFF5-2D3BD5D1CEBF","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q38412$0BE11FD9-8BAF-443B-AA66-E2A668B29748","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"65261ba10a85b3e689972588a12aef15bdbc57f4","datavalue":{"value":{"entity-type":"item","numeric-id":12376,"id":"Q12376"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q38412$0CCDE409-ADAE-4EE8-9BA4-A51B5B8A4F8D","rank":"normal"}]},"sitelinks":{}}}}