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Filariasis presenting as multiple subcutaneous nodules: a rare case report.
Prem Singh1, Nasib Chand, Rikki Singal
1Department of Pathology, Maharishi Markendeshwer Institute of Medical Sciences and Research, Mullana, Haryana, India, Pin-133207.
Acta Medica Indonesiana
|December 14, 2011
Summary
This study reports a rare case of Wuchereria bancrofti filariasis presenting as subcutaneous nodules. Diagnosis was confirmed via biopsy, highlighting the importance of considering filarial granuloma in nodular mass differentials.
Area of Science:
- Medical Parasitology
- Dermatology
- Pathology
Background:
- Filariasis, particularly Wuchereria bancrofti, typically affects lymphatic systems and body fluids.
- Subcutaneous nodule presentation of filariasis is exceptionally rare, with limited documented cases.
- Standard diagnosis involves peripheral blood smear analysis for microfilariae.
Observation:
- A patient presented with urticarial rashes on the upper extremities.
- Multiple subcutaneous nodules were noted, prompting further investigation.
- Biopsy of a subcutaneous nodule revealed Wuchereria bancrofti infestation.
Findings:
- The case demonstrates an unusual presentation of filariasis as multiple subcutaneous nodules.
- Microfilariae were identified in tissue sections, confirming Wuchereria bancrofti.
- This contrasts with the more common presentations and diagnostic methods for filariasis.
Implications:
- Clinicians should consider filarial granuloma in the differential diagnosis of subcutaneous nodular lesions.
- Biopsy and histopathological examination are crucial for diagnosing rare presentations of filariasis.
- This case expands the understanding of Wuchereria bancrofti's clinical manifestations and diagnostic challenges.
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