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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 Esquistosomes Pruïja Skin diseases Schistosoma Itching |
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: https://doi.org/10.1371/journal.pntd.0005906 |
It is part of: | PLoS Neglected Tropical Diseases, 2017, vol. 11, num. 11, p. e0005906 |
URI: | http://hdl.handle.net/2445/118189 |
Related resource: | https://doi.org/10.1371/journal.pntd.0005906 |
ISSN: | 1935-2735 |
Appears in Collections: | Articles publicats en revistes (ISGlobal) Articles publicats en revistes (Medicina) |
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