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[Diagnostic image(44). Sheep tick (Ixodes ricinus)].

J L Blaauwgeers¹, W Hart

¹Onze Lieve Vrouwe Gasthuis, afd. Pathologie, Postbus 95.500, 1090 HM Amsterdam. j.l.g.blaauwgeers@olvg.nl

Nederlands Tijdschrift Voor Geneeskunde

|July 18, 2001

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A skin tag removal unexpectedly revealed a castor bean tick (Ixodes ricinus) in a 69-year-old woman. This finding highlights potential tick presence in seemingly benign skin lesions.

Area of Science:

Dermatology
Parasitology
Medical Entomology

Background:

Skin tags (acrochordons) are common benign neoplasms.
Tick-borne diseases pose significant public health concerns.
Cutaneous manifestations can sometimes be incidental findings during dermatological procedures.

Observation:

A 69-year-old female patient underwent removal of a thoracic skin tag.
Macroscopic examination of the excised tissue was performed.
Microscopic analysis of the specimen was conducted.

Findings:

The removed thoracic skin tag was identified as a castor bean tick (Ixodes ricinus).
The tick was discovered incidentally during routine dermatological surgery.
Histopathological examination confirmed the presence of the arthropod.

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Implications:

This case underscores the importance of thorough examination of excised skin lesions, even those presumed benign.
It highlights the potential for ectoparasites to be concealed within or attached to skin growths.
Clinicians should maintain awareness of potential tick encounters in diverse clinical presentations, aiding in early diagnosis and prevention of tick-borne illnesses.