PMC3014856_01
Papular lesions with a small brown-black central core were distributed on the soles and lateral aspect of the toes.
CRIM2010-681302.001.jpg
PMC3014856_01_CRIM2010-681302.001.jpg
fig1
On physical examination multiple 1 cm, round, white papular lesions with a small brown-black central core where distributed on the soles and lateral aspect of the third and fifth toes of the right and left foot, respectively (Figures 1 and 2).
Dermoscopy findings in our patient. A black area with a plugged opening in the center surrounded by a whitish halo and by a peripheral slight reddening (surrounding inflammatory zone).
CRIM2010-681302.002.jpg
PMC3014856_01_CRIM2010-681302.002.jpg
fig2
On physical examination multiple 1 cm, round, white papular lesions with a small brown-black central core where distributed on the soles and lateral aspect of the third and fifth toes of the right and left foot, respectively (Figures 1 and 2).
Excision of the lesions.
CRIM2010-681302.003.jpg
PMC3014856_01_CRIM2010-681302.003.jpg
fig3
Surgical incision of the lesions with deep removal of the content was performed under local anesthesia (Figure 3).
Optic microscopic view of Tunga penetrans eggs after excision of the flea from the foot lesion.
CRIM2010-681302.004.jpg
PMC3014856_01_CRIM2010-681302.004.jpg
fig4
Tunga penetrans eggs (Figure 4). The patient went on topical fusidic acid cream with healing of the lesions.