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Onchocerciasis in a Teenager From Africa—Quiz Case

Onchocerciasis in a Teenager From Africa—Quiz Case Report of a case A 16-year-old Sudanese boy was evaluated for generalized pruritus and an eruption on his legs. He complained of episodic decreased visual acuity and eye pain every few months. He denied fever, weight loss, or lethargy, and his medical history was otherwise unremarkable. A skin examination revealed diffuse xerosis and lichenified, asteatotic patches distributed over the knees and pretibia and on the dorsal aspect of the feet (Figure 1). The affected skin was shiny and atrophic in areas. There were also subtle hypopigmented, xerotic patches over the buttocks. The peripheral blood cell count was normal except for 30% eosinophilia (normal, <5.5%). The eye examination (slitlamp and indirect ophthalmoscopy) showed bilateral corneal infiltrates. A 1-cm smooth subcutaneous nodule was palpable at the left iliac crest. An excisional biopsy specimen was obtained from the nodule (Figure 2) and stained with hematoxylin-eosin (Figure 3 and Figure 4). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Figure 4. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Onchocerciasis in a Teenager From Africa—Quiz Case

Abstract

Report of a case A 16-year-old Sudanese boy was evaluated for generalized pruritus and an eruption on his legs. He complained of episodic decreased visual acuity and eye pain every few months. He denied fever, weight loss, or lethargy, and his medical history was otherwise unremarkable. A skin examination revealed diffuse xerosis and lichenified, asteatotic patches distributed over the knees and pretibia and on the dorsal aspect of the feet (Figure 1). The affected skin was shiny and atrophic...
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Publisher
American Medical Association
Copyright
Copyright © 2004 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.140.9.1161-g
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 16-year-old Sudanese boy was evaluated for generalized pruritus and an eruption on his legs. He complained of episodic decreased visual acuity and eye pain every few months. He denied fever, weight loss, or lethargy, and his medical history was otherwise unremarkable. A skin examination revealed diffuse xerosis and lichenified, asteatotic patches distributed over the knees and pretibia and on the dorsal aspect of the feet (Figure 1). The affected skin was shiny and atrophic in areas. There were also subtle hypopigmented, xerotic patches over the buttocks. The peripheral blood cell count was normal except for 30% eosinophilia (normal, <5.5%). The eye examination (slitlamp and indirect ophthalmoscopy) showed bilateral corneal infiltrates. A 1-cm smooth subcutaneous nodule was palpable at the left iliac crest. An excisional biopsy specimen was obtained from the nodule (Figure 2) and stained with hematoxylin-eosin (Figure 3 and Figure 4). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload Figure 4. View LargeDownload What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 2004

Keywords: adolescent,africa,onchocerciasis

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