PMC4782660_01
Multiple papules of yellowish color, with an erytematous-brownish base, firm,
varying between 0.5 and 2 cm in diameter, in groups and an ascending
pattern, restricted to the left hemiabdomen
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f1
The physical examination revealed firm yellowish papules, with an erythematous-brownish base, measuring from 0.5 to 2 cm, in groups and an ascending pattern, on the left hemiabdomen (Figure 1).
Histopathological exam, in hematoxilin-eosin, revealing multiple granulomas
of foreign body (composed predominantly of lymphocytes and histiocytes),
with granulomatous dermatitis involving the parasite eggs
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f2
The histopatological exam revealed granulomatous dermatitis involving parasite eggs with characteristic lateral spikes (Figures 2 and3).
Detail of the parasite egg shows the characteristic prominent lateral
spike
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f3
The histopatological exam revealed granulomatous dermatitis involving parasite eggs with characteristic lateral spikes (Figures 2 and3).
Almost complete regression 2 weeks after the end of the treatment with
praziquantel
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Treated with Praziquantel 40 mg/kg she soon presented progressive clinical improvement (Figure 4).