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[Eosinophilic migratory nodular panniculitis (human gnathostomiasis)].
C A Kaminsky1, A R De Kaminsky, S E Costantini
1Cátedra de Dermatología, Facultad de Medicina, Universidad Nacional de Buenos Aires, Argentina.
Medicina Cutanea Ibero-Latino-Americana
|January 1, 1989
Summary
This case study describes a rare instance of migratory skin lesions in a patient, diagnosed as eosinophilic panniculitis likely caused by gnathostomiasis. This is the first documented case in Argentina, highlighting a potential new geographic distribution for this parasitic infection.
Area of Science:
- Dermatology
- Parasitology
- Infectious Diseases
Background:
- Gnathostomiasis is a parasitic infection caused by the nematode *Gnathostoma* species.
- It typically presents with subcutaneous nodules and migratory swelling, but cutaneous manifestations can vary.
- Previous reports have primarily focused on endemic areas in Asia and Latin America, excluding Argentina.
Observation:
- A patient presented with migratory, erythema-edematous plates on the thorax, abdomen, and left arm over three years.
- The lesions exhibited characteristic histopathologic features of eosinophilic panniculitis.
Findings:
- Histopathology confirmed eosinophilic panniculitis, strongly suggesting larva migrans.
- The clinical presentation and histopathologic findings are consistent with gnathostomiasis.
Implications:
- This case represents the first documented instance of gnathostomiasis in Argentina.
- It expands the known geographic range of gnathostomiasis and highlights the importance of considering this diagnosis in patients with unexplained migratory skin lesions.
- Further surveillance and research are warranted to understand the prevalence and transmission dynamics of gnathostomiasis in Argentina.