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A 70-year-old male presenting a 3-month history of genital painless erythematous nodules in the balanopreputial sulcus was referred to our service. Histopathological exam presented a chronic dermatitis with epithelioid granulomas and Grocott staining revealed numerous fungal structures with a suggestive morphology of Histoplasma sp. Cultures evidenced Histoplasma capsulatum var. capsulatum. Treatment with oral itraconazole led to complete remission of lesions.

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This article introduces the concepts of self-organization and autonomy as presented by the thought of Michel Debrun and Edgar Morin and their relationship to the development of a bioethical conscience by means of the school educational process. The proposal aims to contribute to the development of autonomy of students and thus be conducive to their self-organization as “responsible ethical subjects”.