[Schistosoma-induced granulomatous panniculitis. An unusual presentation of cutaneous schistosomiasis]. / Panniculite granulomateuse bilharzienne. Une présentation inhabituelle de la bilharziose cutanée.
Ann Dermatol Venereol
; 139(2): 132-6, 2012 Feb.
Article
em Fr
| MEDLINE
| ID: mdl-22325753
ABSTRACT
BACKGROUND:
Cutaneous schistosomiasis is extremely rare, even in endemic regions. It usually leads to non-specific papulonodular lesions in the perigenital area. We report a case of cutaneous schistosomiasis presenting as panniculitis. CASE REPORT An 8-year-old girl was admitted for a large multinodular, indurated plaque over the perineum that gradually spread over a year in a setting of hypereosinophilia. Ultrasonography showed thickening of the bladder and a significant bilateral ureteral hydronephrosis. Histological examination revealed numerous granulomas Schistosoma haematobium ova at their centre and within the hypodermis. Treatment with praziquantel 40 mg/kg resulted in regression of cutaneous lesions within 3 weeks.DISCUSSION:
We report a case of Schistosoma-induced granulomatous panniculitis that is noteworthy in terms of its clinical appearance, perineal location, association with severe urinary involvement and rapid regression under treatment. The current extent of endemic schistosomiasis and its severity justify greater awareness of this unusual cutaneous presentation, which to our knowledge has never previously been reported.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esquistossomose
/
Dermatopatias Parasitárias
/
Paniculite
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Granuloma
Limite:
Child
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Female
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Humans
Idioma:
Fr
Revista:
Ann Dermatol Venereol
Ano de publicação:
2012
Tipo de documento:
Article