Appearance of Granuloma and Prurigo Pigmentosa after Land Leech Bites / 日本農村医学会雑誌
Journal of the Japanese Association of Rural Medicine
; : 156-160, 2021.
Article
in Ja
| WPRIM
| ID: wpr-887299
Responsible library:
WPRO
ABSTRACT
A 65-year-old man visited our department because of 3 nodules that had appeared 6 months earlier in the lower jaw and left lower leg. One month before presentation, papules appeared and spread across his body. Palpation revealed a soft nodule in the lower jaw and relatively hard nodules in the left lower leg. Biopsy of the nodules showed moderate-sized cell infiltration in the middle to lower dermis and mononuclear cells (mainly lymphocytes) with many eosinophils in the adipose tissue. Histochemistry confirmed CD4-positive and CD8-positive cells, but not CD30-positive larger lymphocytes. Accordingly, psuedolymphoma was diagnosed. Two months later, prurigo pigmentosa appeared on the trunk, and minocycline (200 mg/day; p.o.) was effective to some degree. Both eruptions were thought to be induced by land leech bites.
Search on Google
Index:
WPRIM
Language:
Ja
Journal:
Journal of the Japanese Association of Rural Medicine
Year:
2021
Type:
Article