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:
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.
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Probably Onchocerca volvulus
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