A 38-year-old woman with zosteriform skin lesions

Abstract

[EN]the suspicion of S. mansoni as the most likely etiological agent, considering the epidemiological history and the histological findings on the skin biopsy, was confirmed by a species-specific LAMP-based real-time assay. [...]classical chronic cutaneous schistosomiasis consists of papular, erythematous, and pruritic lesions located in the anogenital region, and only a few cases of extragenital skin lesions have been described [5-9]. [...]ectopic cutaneous schistosomiasis is characterized by erythematous pruritic papules with a zosteriform distribution that can evolve to nodules and plaques. [...]treatment is important not only to eliminate the adult worms and halt the oviposition but also to avoid the evolution to severe forms [9]. [...]although ectopic cutaneous schistosomiasis has been classified as a manifestation of chronic and/or late schistosomiasis-usually described as occurring 3 months after water exposure-physicians must be aware of early presentations, as in the reported case of our patient, who started having cutaneous manifestations only 5 weeks after her exposure to the infected freshwater.