Not a simple plantar wart: a case of tungiasis

Not a simple plantar wart: a case of tungiasis Dear SirA 62‐year‐old Caucasian woman complained of a painful nodular lesion on her right heel that restricted her walking. She had noticed the onset of the itching after approximately 3 weeks of travel in Brazil. She was initially treated by her general practitioner with topical salicylic acid, suspecting a plantar wart. After a week of increased itching and unbearable pain, the patient was referred to our dermatological service. The lesion was roundish and approximately 1 cm in diameter, hard in consistency (Fig. ). After gentle curettage, dermoscopy was performed. We noticed a white halo of hyperkeratosis with an incomplete, dark brownish ring, blue‐black blotches, and a central orifice surrounded by white ovoid structures (Fig. ). After a few insightful questions, she was diagnosed with tungiasis. We curetted out the eggs and faecal material and further performed spray cryotherapy, instructing her to apply a topical antibiotic ointment for 2 weeks; this resulted in her full recovery. The patient also received tetanus prophylaxis.Nodular lesion on right heel.Dermoscopy of same lesion.Tungiasis is a cutaneous parasitosis which is caused by a flea, Tunga penetrans. This infection is widely distributed among mammals, affecting humans and small animals. It is endemic to South and Central http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of the European Academy of Dermatology & Venereology Wiley
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Publisher
Wiley Subscription Services, Inc., A Wiley Company
Copyright
Copyright © 2018 European Academy of Dermatology and Venereology
ISSN
0926-9959
eISSN
1468-3083
D.O.I.
10.1111/jdv.14595
Publisher site
See Article on Publisher Site

Abstract

Dear SirA 62‐year‐old Caucasian woman complained of a painful nodular lesion on her right heel that restricted her walking. She had noticed the onset of the itching after approximately 3 weeks of travel in Brazil. She was initially treated by her general practitioner with topical salicylic acid, suspecting a plantar wart. After a week of increased itching and unbearable pain, the patient was referred to our dermatological service. The lesion was roundish and approximately 1 cm in diameter, hard in consistency (Fig. ). After gentle curettage, dermoscopy was performed. We noticed a white halo of hyperkeratosis with an incomplete, dark brownish ring, blue‐black blotches, and a central orifice surrounded by white ovoid structures (Fig. ). After a few insightful questions, she was diagnosed with tungiasis. We curetted out the eggs and faecal material and further performed spray cryotherapy, instructing her to apply a topical antibiotic ointment for 2 weeks; this resulted in her full recovery. The patient also received tetanus prophylaxis.Nodular lesion on right heel.Dermoscopy of same lesion.Tungiasis is a cutaneous parasitosis which is caused by a flea, Tunga penetrans. This infection is widely distributed among mammals, affecting humans and small animals. It is endemic to South and Central

Journal

Journal of the European Academy of Dermatology & VenereologyWiley

Published: Jan 1, 2018

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