Abstract
A 66-year-old man with indolent systemic mastocytosis presented with a plaque-like cutaneous lesion at his right inguinal region. He had travelled to various African countries in the years before. Pathological examination revealed a granulomatous infiltrate surrounding eggs of Schistosoma haematobium. Ectopic cutaneous schistosomiasis was therefore diagnosed, for which he was treated with Praziquantel.
Highlights
This may enable eggs to reach the spinal circulation for further distribution and could explain the zosteriform distribution in case of such ectopic lesions
Aberrant migration of adult worms may occur as copulating, egg-laying worms have been detected in skin biopsies before
Ectopic cutaneous schistosomiasis is not often seen in travel medicine and could be misdiagnosed, which may cause a significant delay in time before appropriate therapy is started
Summary
Ectopic cutaneous schistosomiasis is not often seen in travel medicine and could be misdiagnosed, which may cause a significant delay in time before appropriate therapy is started.
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