Monday, November 1, 2021

Case of the Week 659

This week's case features a digitally-scanned section of a subcutaneous nodule from the thigh of a man living in rural Senegal. The man presented with a several month history of severe itching in his lower extremities and abdomen, accompanied with a papular skin rash and focal loss of skin pigmentation. 

Here is a low power view of the skin and underlying nodule:

Diagnosis?


2 comments:

Anonymous said...

Again interpreting pathology HE sections has never been my cup of tea, however the tissue section and clinical aspects appear to indicate a filariasis infection, possibly a case of Onchocerciasis.
Florida Fan

Anonymous said...

Probably Onchocerca volvulus