Very High‐ and High‐Frequency Ultrasound Features of Cutaneous Larva Migrans
Autor: | Sergio Álvarez-Véliz, Isabel Ogueta, Cristián Vera-Kellet, Ximena Wortsman, Marcela Concha-Rogazy, Lucas Navajas-Galimany, Sergio González-Bombardiere |
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Rok vydání: | 2019 |
Předmět: |
Adult
Dermatologic ultrasound Pathology medicine.medical_specialty 030218 nuclear medicine & medical imaging Cutaneous larva migrans 03 medical and health sciences 0302 clinical medicine medicine Humans Radiology Nuclear Medicine and imaging Larva migrans Ultrasonography Basement membrane 030219 obstetrics & reproductive medicine integumentary system Radiological and Ultrasound Technology business.industry fungi Ultrasound Lymph duct medicine.disease medicine.anatomical_structure Lymphatic system Larva Migrans Female business High frequency ultrasound |
Zdroj: | Journal of Ultrasound in Medicine. 38:3349-3358 |
ISSN: | 1550-9613 0278-4297 |
Popis: | Cutaneous larva migrans is a common infestation among travelers. Although the diagnosis may be suspected clinically, cases can show atypical presentations. We present the ultrasound features of 4 cases at 18 and 70 MHz. Small linear hyperechoic and hyper-refringent subepidermal and intrafollicular structures suggestive of fragments of larvae, hypoechoic dermal and hypodermal tunnels that match with dilatation of lymphatic ducts, and inflammatory dermal and hypodermal ultrasound signs can support the diagnosis. This work suggests that larvae can penetrate the cutaneous basement membrane through the ostia of the hair follicles and potentially disseminate through the dermal and hypodermal lymphatic network. |
Databáze: | OpenAIRE |
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