A 38-year-old woman with zosteriform skin lesions

• Published in: PLoS neglected tropical diseases 2017-11, Vol.11 (11), p.e0005906-e0005906
• Main Authors: Camprubí, Daniel, Requena-Méndez, Ana, Rodríguez, Natalia, Valls, M Eugenia, García-Herrera, Adriana, Estrach, Teresa, Fustà, Xavier, García-Bernalt Diego, Juan, Fernández-Soto, Pedro, Muñoz, Jose
• Format: Article
• Language: English
• Subjects: Adult; Animals; Anthelmintics - therapeutic use; Biology and Life Sciences; Biomedical research; Care and treatment; Case studies; Deoxyribonucleic acid; Dermatology; Diagnosis; Diagnosis, Differential; DNA; Earth Sciences; Ecology and Environmental Sciences; Esquistosomes; Family medical history; Female; Hospitals; Humans; Itching; Lesions; Malalties de la pell; Medicine and Health Sciences; Nucleic Acid Amplification Techniques; Photo Quiz; Praziquantel - therapeutic use; Prednisone - therapeutic use; Pregnancy; Pruïja; Risk factors; Schistosoma; Schistosoma mansoni; Schistosoma mansoni - isolation & purification; Schistosomiasis; Schistosomiasis mansoni - diagnosis; Schistosomiasis mansoni - drug therapy; Schistosomiasis mansoni - pathology; Skin; Skin diseases; Skin Diseases, Parasitic - diagnosis; Skin Diseases, Parasitic - drug therapy; Skin Diseases, Parasitic - pathology; Tropical diseases
• ISSN: 1935-2735; 1935-2727; 1935-2735
• DOI: 10.1371/journal.pntd.0005906

[...]the suspicion of S. mansoni as the most likely etiological agent, considering the epidemiological history and the histological findings on the skin biopsy, was confirmed by a species-specific LAMP-based real-time assay. [...]classical chronic cutaneous schistosomiasis consists of papular, erythematous, and pruritic lesions located in the anogenital region, and only a few cases of extragenital skin lesions have been described [5-9]. [...]ectopic cutaneous schistosomiasis is characterized by erythematous pruritic papules with a zosteriform distribution that can evolve to nodules and plaques. [...]treatment is important not only to eliminate the adult worms and halt the oviposition but also to avoid the evolution to severe forms [9]. [...]although ectopic cutaneous schistosomiasis has been classified as a manifestation of chronic and/or late schistosomiasis-usually described as occurring 3 months after water exposure-physicians must be aware of early presentations, as in the reported case of our patient, who started having cutaneous manifestations only 5 weeks after her exposure to the infected freshwater.