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Title: A 38-year-old woman with zosteriform skin lesions
Author: Camprubí, Daniel
Requena-Méndez, Ana
Rodriguez Valero, Natalia
Valls, M. Eugenia
García Herrera, Adriana
Estrach Panella, Ma. Teresa (María Teresa)
Fustà, Xavier
García Bernalt, Diego J.
Fernández Soto, Pedro
Muñoz, José
Keywords: Malalties de la pell
Skin diseases
Issue Date: 2-Nov-2017
Publisher: Public Library of Science (PLoS)
Abstract: A 38-year-old white woman with no previous medical history presented to our hospital with a 7-day clinical history of skin lesions on her shoulder. She had visited Uganda for 3 weeks, where she swam in Bunyonyi Lake at the end of the first week of the trip. She remained asymptomatic until 2 weeks after her return (approximately 5 weeks after freshwater exposure), when she developed pruritic painless erythematous papules grouped on the back part of her left shoulder following the C3-C4 dermatome (Fig 1). Under clinical suspicion of cutaneous herpes zoster, oral valganciclovir was prescribed. No clinical improvement was observed, and varicella zoster virus polymerase chain reaction from a skin lesion was negative. Routine blood tests showed eosinophilia (5,200 cells/mm3, normal count below 450 cells/mm3). No parasites, cysts, or eggs were observed in excreta. Two weeks after the clinical symptoms appeared and while waiting for the results of some serological tests, a skin biopsy (Fig 2) and a specific loop-mediated isothermal amplification (LAMP) assay of the sample were performed. What is your diagnosis?
Note: Reproducció del document publicat a:
It is part of: PLoS Neglected Tropical Diseases, 2017, vol. 11, num. 11, p. e0005906
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ISSN: 1935-2735
Appears in Collections:Articles publicats en revistes (ISGlobal)
Articles publicats en revistes (Medicina)

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