Bari A U, Bari A U.
A young African lady with a debilitating skin disease (Onchodermatitis).
Pak Armed Forces Med J Jan ;58(1):103-6.

A 23 years old black lady presented with history of severe generalized itching, generalized laxity of the skin, myalgias, and easy fatigability. She started having itching about 3 years ago. On physical examination, she looked older than her age. There were numerous pruritic, indurated excoriated papules with pigmentary changes and atrophic scars all over her body. The lesions were more marked over abdomen, buttocks and extremities. Skin was lax and folds were inelastic and hanging down, especially in abdominal region and buttocks, when patient stood up. Her face and neck was spared and eye examination was unremarkable. Blood complete picture showed hypereosinophilia [6000/R1 (30%) eosinophils]. Skin snip examination revealed a large number of microfilaria under microscope and it confirmed the clinical diagnosis of cutaneous onchocercal disease. She was given, a single dose of Ivermectin along with daily antihistamine and emollient for topical application.

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