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Dermatologic Manifestations of Schistosomiasis Mansoni

Dermatologic Manifestations of Schistosomiasis Mansoni Abstract • Schistosomiasis mansoni, a potentially severe disease that victimizes an appreciable number of US citizens in this hemisphere, shows cutaneous changes corresponding to various stages in the life cycle of the causative parasite within its definitive host. A transient pruritus or dermatitis, probably irritative, characterizes the stage of cercarial penetration. Urticaria, periorbital edema, and rarely a purpuric eruption may occur four to six weeks later, shortly after oviposition by adult worms, probably as an expression of hypersensitivity to ova and their products. Papulonodular lesions, similar to but not as devastating as those developing internally, may rarely appear months later at the perineum or distant cutaneous sites as a manifestation of granulomatous hypersensitivity to eggs and, very rarely, worms, accidentally carried there through collateral and anastomosing vascular pathways. (Arch Dermatol 112:1539-1542, 1976) References 1. Scott HH: The influence of the slave trade in the spread of tropical disease . Trans R Soc Trop Med Hyg 37:169-188, 1943.Crossref 2. Rodriguez-Molina R: Clinical aspects of schistosomiasis mansoni . Bol Asoc Med P R 57:271-277, 1965. 3. Rodriguez-Molina R, Oliver-Gonzalez J, Rivera de Sala A: Circumoval precipitin test in schistosomiasis mansoni: A study of 400 patients . Bol Asoc Med P R 58:159-165, 1966. 4. Clark WD, Cox PM, Ratner LH, Correa-Coronas R, et al: Acute schistosomiasis mansoni in 10 boys: An outbreak in Caguas, Puerto Rico . Ann Intern Med 73:379-385, 1970.Crossref 5. Diaz-Rivera RS, Romas-Morales F, Koppisch E, et al: Acute Manson's schistosomiasis . Am J Med 21:918-943, 1956.Crossref 6. Koppisch E: Studies on schistosomiasis in Puerto Rico: IV. The pathological anatomy of experimental schistosomiasis mansoni in the rabbit and albino rat . P R J Pub Health Trop Med 13:1-54, 1937. 7. Sotomayor ZR, Correa-Coronas R, Ramos-Morales F: Acute Manson's schistosomiasis . Bol Asoc Med PR 57:437-442, 1965. 8. Garcia-Palmieri MR, Marcial-Rojas RA: The protean manifestations of schistosomiasis mansoni: A clinicopathological correlation . Ann Intern Med 57:763-775, 1962.Crossref 9. LiHsu SY, Hsu HF, Lust GL, et al: Organized epithelioid cell granulomata elicited by schistosome eggs in experimental animals . J Reticuloendothel Soc 12:418-435, 1972. 10. Oliver-Gonzalez J, Pratt CK: Skin and precipitin reactions to antigens from the cercariae and adults of Schistosoma mansoni . P R J Pub Health Trop Med 20:242-248, 1944. 11. Oliver-Gonzalez J, Hernandez-Morales F: El diagnostico serologico de la esquistosomiasis: consideraciones sobre investigaciones recientes . Bol Asoc Med PR 51:41-46, 1959. 12. Oliver-Gonzalez J: Anti-egg precipitins in the serum of humans infected with Schistosoma mansoni . J Infect Dis 95:86-91, 1954.Crossref 13. Rodriguez-Molina R, Oliver-Gonzalez J, de Sala AR: The circumoval precipitin test in Schistosoma mansoni: A study of 300 patients . JAMA 182:1001-1004, 1962.Crossref 14. El-Zawahry M: Schistosomal granuloma of the skin . Arch Dermatol 72:68-69, 1955.Crossref 15. El Mofty AM: Extragenital forms of cutaneous schistosomiasis . Br J Dermatol 68:252-254, 1956.Crossref 16. Nagaty HF, Moamad MB, Salem S: Papular skin lesions in which schistosome eggs were found . Am J Trop Med Hyg 6:266-270, 1957. 17. Cahill, KM, El Mofty AM: Extragenital cutaneous lesions in schistosomiasis . Am J Trop Med Hyg 13:800-802, 1964. 18. El Mofty AM, Cahill KM: Cutaneous manifestations of schistosomiasis . Derm Trop 3:157-161, 1964. 19. Raasch FO Jr: Case for diagnosis . Milit Med 133:996-1008, 1968. 20. Ramos SF: Late cutaneous bilharziasis . S Afr Med J 47:2103-2108, 1973. 21. Marcial-Rojas RA, Fiol RE: Neurologic complications of schistosomiasis: Review of the literature and report of two cases of transverse myelitis due to S mansoni . Ann Intern Med 59:215-230, 1963.Crossref 22. Rosenbaum RM, et al: Schistosomiasis mansoni of the spinal cord . Am J Trop Med Hyg 21:182-184, 1972. 23. Faust EC: An inquiry into the ectopic lesions in schistosomiasis . Am J Trop Med 28:175-199, 1948. 24. Pons JA: Studies of schistosomiasis in Puerto Rico: V. Clinical aspects of schistosomiasis mansoni . P R J Pub Health Trop Med 13:171-254, 1937. 25. Warren KS, Newill VA: Schistosomiasis: A Bibliography of the World's Literature from 1852 to 1962 . Cleveland, The Press of Western Reserve University, 1967. 26. Convit J, Reyes O: Ectopic skin lesions produced by Schistosoma mansoni . Am J Trop Med Hyg 22:482-484, 1973. 27. Chaves E, Figuereido JN: Schistosomiasis of the scrotum . Rev Inst Med Trop 7:343-345, 1965. 28. Warner BW: Anorectal colonic manifestations of schistosomiasis mansoni infestation (intestinal bilharzia): Case report . Am J Surg 57:168-172, 1942.Crossref 29. Hernandez-Morales F, Oliver-Gonzalez J: Treatment of schistosomiasis mansoni in adults with sodium dimethyl cysteine tartrate . Bol Asoc Med P R 64:5-7, 1972. 30. Diaz-Rivera RS, Ramos-Morales F, Sotomayor ZR, et al: The treatment of schistosomiasis . Arch Intern Med 101:1151-1158, 1958.Crossref 31. Filtration of schistosomes from the portal blood in man, actualidades médicas . Bol Asoc Med PR 61:307, 1969. 32. Lyons RT, Benson J: Schistosomiasis mansoni: A study of 26 Puerto Ricans in a nonendemic area . Ann Intern Med 40:1194-1206, 1954.Crossref 33. Kagan IG, Rairigh DW, Kaiser RL: A clinical, parasitological and immunologic study of schistosomiasis in 103 Puerto Rican males residing in the United States . Ann Intern Med 56:457-470, 1962.Crossref 34. Most H, Levine DI: Schistosomiasis in American tourists . JAMA 186:453-457, 1963.Crossref 35. Winsberg GR, Moriearty P, Yogore M, et al: Schistosomiasis in Chicago: A study of the Westown Puerto Rico population . Am J Epidemiol 100:324-332, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Dermatologic Manifestations of Schistosomiasis Mansoni

Archives of Dermatology , Volume 112 (11) – Nov 1, 1976

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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1976.01630350015004
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Abstract

Abstract • Schistosomiasis mansoni, a potentially severe disease that victimizes an appreciable number of US citizens in this hemisphere, shows cutaneous changes corresponding to various stages in the life cycle of the causative parasite within its definitive host. A transient pruritus or dermatitis, probably irritative, characterizes the stage of cercarial penetration. Urticaria, periorbital edema, and rarely a purpuric eruption may occur four to six weeks later, shortly after oviposition by adult worms, probably as an expression of hypersensitivity to ova and their products. Papulonodular lesions, similar to but not as devastating as those developing internally, may rarely appear months later at the perineum or distant cutaneous sites as a manifestation of granulomatous hypersensitivity to eggs and, very rarely, worms, accidentally carried there through collateral and anastomosing vascular pathways. (Arch Dermatol 112:1539-1542, 1976) References 1. Scott HH: The influence of the slave trade in the spread of tropical disease . Trans R Soc Trop Med Hyg 37:169-188, 1943.Crossref 2. Rodriguez-Molina R: Clinical aspects of schistosomiasis mansoni . Bol Asoc Med P R 57:271-277, 1965. 3. Rodriguez-Molina R, Oliver-Gonzalez J, Rivera de Sala A: Circumoval precipitin test in schistosomiasis mansoni: A study of 400 patients . Bol Asoc Med P R 58:159-165, 1966. 4. Clark WD, Cox PM, Ratner LH, Correa-Coronas R, et al: Acute schistosomiasis mansoni in 10 boys: An outbreak in Caguas, Puerto Rico . Ann Intern Med 73:379-385, 1970.Crossref 5. Diaz-Rivera RS, Romas-Morales F, Koppisch E, et al: Acute Manson's schistosomiasis . Am J Med 21:918-943, 1956.Crossref 6. Koppisch E: Studies on schistosomiasis in Puerto Rico: IV. The pathological anatomy of experimental schistosomiasis mansoni in the rabbit and albino rat . P R J Pub Health Trop Med 13:1-54, 1937. 7. Sotomayor ZR, Correa-Coronas R, Ramos-Morales F: Acute Manson's schistosomiasis . Bol Asoc Med PR 57:437-442, 1965. 8. Garcia-Palmieri MR, Marcial-Rojas RA: The protean manifestations of schistosomiasis mansoni: A clinicopathological correlation . Ann Intern Med 57:763-775, 1962.Crossref 9. LiHsu SY, Hsu HF, Lust GL, et al: Organized epithelioid cell granulomata elicited by schistosome eggs in experimental animals . J Reticuloendothel Soc 12:418-435, 1972. 10. Oliver-Gonzalez J, Pratt CK: Skin and precipitin reactions to antigens from the cercariae and adults of Schistosoma mansoni . P R J Pub Health Trop Med 20:242-248, 1944. 11. Oliver-Gonzalez J, Hernandez-Morales F: El diagnostico serologico de la esquistosomiasis: consideraciones sobre investigaciones recientes . Bol Asoc Med PR 51:41-46, 1959. 12. Oliver-Gonzalez J: Anti-egg precipitins in the serum of humans infected with Schistosoma mansoni . J Infect Dis 95:86-91, 1954.Crossref 13. Rodriguez-Molina R, Oliver-Gonzalez J, de Sala AR: The circumoval precipitin test in Schistosoma mansoni: A study of 300 patients . JAMA 182:1001-1004, 1962.Crossref 14. El-Zawahry M: Schistosomal granuloma of the skin . Arch Dermatol 72:68-69, 1955.Crossref 15. El Mofty AM: Extragenital forms of cutaneous schistosomiasis . Br J Dermatol 68:252-254, 1956.Crossref 16. Nagaty HF, Moamad MB, Salem S: Papular skin lesions in which schistosome eggs were found . Am J Trop Med Hyg 6:266-270, 1957. 17. Cahill, KM, El Mofty AM: Extragenital cutaneous lesions in schistosomiasis . Am J Trop Med Hyg 13:800-802, 1964. 18. El Mofty AM, Cahill KM: Cutaneous manifestations of schistosomiasis . Derm Trop 3:157-161, 1964. 19. Raasch FO Jr: Case for diagnosis . Milit Med 133:996-1008, 1968. 20. Ramos SF: Late cutaneous bilharziasis . S Afr Med J 47:2103-2108, 1973. 21. Marcial-Rojas RA, Fiol RE: Neurologic complications of schistosomiasis: Review of the literature and report of two cases of transverse myelitis due to S mansoni . Ann Intern Med 59:215-230, 1963.Crossref 22. Rosenbaum RM, et al: Schistosomiasis mansoni of the spinal cord . Am J Trop Med Hyg 21:182-184, 1972. 23. Faust EC: An inquiry into the ectopic lesions in schistosomiasis . Am J Trop Med 28:175-199, 1948. 24. Pons JA: Studies of schistosomiasis in Puerto Rico: V. Clinical aspects of schistosomiasis mansoni . P R J Pub Health Trop Med 13:171-254, 1937. 25. Warren KS, Newill VA: Schistosomiasis: A Bibliography of the World's Literature from 1852 to 1962 . Cleveland, The Press of Western Reserve University, 1967. 26. Convit J, Reyes O: Ectopic skin lesions produced by Schistosoma mansoni . Am J Trop Med Hyg 22:482-484, 1973. 27. Chaves E, Figuereido JN: Schistosomiasis of the scrotum . Rev Inst Med Trop 7:343-345, 1965. 28. Warner BW: Anorectal colonic manifestations of schistosomiasis mansoni infestation (intestinal bilharzia): Case report . Am J Surg 57:168-172, 1942.Crossref 29. Hernandez-Morales F, Oliver-Gonzalez J: Treatment of schistosomiasis mansoni in adults with sodium dimethyl cysteine tartrate . Bol Asoc Med P R 64:5-7, 1972. 30. Diaz-Rivera RS, Ramos-Morales F, Sotomayor ZR, et al: The treatment of schistosomiasis . Arch Intern Med 101:1151-1158, 1958.Crossref 31. Filtration of schistosomes from the portal blood in man, actualidades médicas . Bol Asoc Med PR 61:307, 1969. 32. Lyons RT, Benson J: Schistosomiasis mansoni: A study of 26 Puerto Ricans in a nonendemic area . Ann Intern Med 40:1194-1206, 1954.Crossref 33. Kagan IG, Rairigh DW, Kaiser RL: A clinical, parasitological and immunologic study of schistosomiasis in 103 Puerto Rican males residing in the United States . Ann Intern Med 56:457-470, 1962.Crossref 34. Most H, Levine DI: Schistosomiasis in American tourists . JAMA 186:453-457, 1963.Crossref 35. Winsberg GR, Moriearty P, Yogore M, et al: Schistosomiasis in Chicago: A study of the Westown Puerto Rico population . Am J Epidemiol 100:324-332, 1974.

Journal

Archives of DermatologyAmerican Medical Association

Published: Nov 1, 1976

References