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Histopathological features of tungiasis in Peru.
Maco, Vicente; Maco, Vicente P; Tantalean, Manuel E; Gotuzzo, Eduardo.
Afiliação
  • Maco V; Beth Israel Medical Center, Albert Einstein College of Medicine, New York, NY, USA. vicente_maco@hotmail.com
Am J Trop Med Hyg ; 88(6): 1212-6, 2013 Jun.
Article em En | MEDLINE | ID: mdl-23478579
Tungiasis is an ectoparasitic skin disease caused by Tunga penetrans and Tunga trimamillata. There is a lack of histopathological studies that evaluate the recognition of this flea in tissues. We describe the ex vivo dermoscopic and the histopathological patterns of six cases and relate the findings to the developmental stage of the parasite as defined by the Fortaleza classification: two were classified as Fortaleza 3b, 3 as 4a, and 1 as 4b. Two dermoscopic patterns were observed: a brown pigmented ring and a radial crown with a central pore. The most common histopathological findings were an eosinophilic cuticle, eggs in different stages of development, tracheal rings (parasite), and basal hyperplasia (host). The eosinophilic cuticle, eggs in different stages of evolution, and tracheal rings can help to establish the diagnosis when other parts of the parasite are lacking. The Fortaleza staging may represent a tool for pathology reporting purposes.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tungíase Tipo de estudo: Clinical_trials / Observational_studies Limite: Adolescent / Adult / Animals / Child / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Tungíase Tipo de estudo: Clinical_trials / Observational_studies Limite: Adolescent / Adult / Animals / Child / Female / Humans / Male País/Região como assunto: America do sul / Peru Idioma: En Revista: Am J Trop Med Hyg Ano de publicação: 2013 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos