The Potential of Molecular Diagnosis of Cutaneous Ectopic Schistosomiasis

Karin van Dijk Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Karin van Dijk in
Current site
Google Scholar
PubMed
Close
,
Markus V. Starink Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Markus V. Starink in
Current site
Google Scholar
PubMed
Close
,
Aldert Bart Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Aldert Bart in
Current site
Google Scholar
PubMed
Close
,
Erik W. P. Nijhuis Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Erik W. P. Nijhuis in
Current site
Google Scholar
PubMed
Close
,
Allard C. van der Wal Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Allard C. van der Wal in
Current site
Google Scholar
PubMed
Close
,
Pieter P. A. M. van Thiel Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Pieter P. A. M. van Thiel in
Current site
Google Scholar
PubMed
Close
,
Henry J. C. de Vries Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Henry J. C. de Vries in
Current site
Google Scholar
PubMed
Close
, and
Tom van Gool Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands; Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands; Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands; Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands; Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands

Search for other papers by Tom van Gool in
Current site
Google Scholar
PubMed
Close
Restricted access

A 28-year-old woman presented with extensive erythematous lesions on her back after visiting Malawi. Skin biopsies showed ova, which could belong to Schistosoma spp. Sequencing of the Schistosoma 28S rRNA gene, extracted and amplified from paraffin biopsies, identified DNA of Schistosoma haematobium. Cutaneous ectopic schistosomiasis can present with extensive lesions and should be considered in the differential diagnosis of skin lesions in returning travelers. Microscopy and serology are the classical methods to obtain a diagnosis. Alternatively, molecular methods can be a valuable new tool for diagnosis and species determination.

Author Notes

*Address correspondence to Karin van Dijk, Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Room L1-246, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands. E-mail: K.vanDijk@amc.uva.nl

Authors' addresses: Karin van Dijk, Aldert Bart, and Tom van Gool, Section Parasitology, Department of Medical Microbiology, Academic Medical Center, Amsterdam, The Netherlands, E-mails: K.vanDijk@amc.uva.nl, A.Bart@amc.uva.nl, and T.vanGool@amc.uva.nl. Markus V. Starink and Henry J. C. de Vries, Department of Dermatology, Academic Medical Center, Amsterdam, The Netherlands, E-mails: M.V.Starink@amc.uva.nl and H.J.deVries@amc.uva.nl. Erik W. P. Nijhuis, Department of Pathology, Onze Lieve Vrouwe Gasthuis, Amsterdam, The Netherlands, E-mail: E.W.P.Nijhuis@olvg.nl. Allard C. van der Wal, Department of Pathology, Academic Medical Center, Amsterdam, The Netherlands, E-mail: A.C.vanderWal@amc.uva.nl. Pieter P. A. M. van Thiel, Department of Infectious Diseases, Tropical Medicine and AIDS, Academic Medical Center, Amsterdam, The Netherlands, E-mail: P.P.vanThiel@amc.uva.nl.

  • 1.

    Davis A, 2009. Schistosomiasis. Cook GC, Zumla A, eds. Manson's Tropical Diseases. 23rd Edition. London, UK: Saunders, 1425–1460.

  • 2.

    Bierman WF, Wetsteyn JC, Van Gool T, 2005. Presentation and diagnosis of imported schistosomiasis: relevance of eosinophilia, microscopy for ova, and serology. J Travel Med 12: 9–13.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Leman JA, Small G, Wilks D, Tidman MJ, 2001. Localized papular cutaneous schistosomiasis: two cases in travellers. Clin Exp Dermatol 26: 50–52.

  • 4.

    Van Gool T, Vetter H, Vervoort T, Doenhoff MJ, Wetsteijn J, Overbosch D, 2002. Serodiagnosis of imported schistosomiasis by a combination of a commercial indirect hemagglutination test with Schistosoma mansoni adult worm antigens and an enzyme-linked immunosorbent assay with S. mansoni egg antigens. J Clin Microbiol 40: 3432–3437.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    ten Hove RJ, Verweij JJ, Vereecken K, Polman K, Dieye L, van Lieshout L, 2008. Multiplex real-time PCR for the detection and quantification of Schistosoma mansoni and S. haematobium infection in stool samples collected in northern Senegal. Trans R Soc Trop Med Hyg 102: 179–185.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Sandoval N, Siles-Lucas M, Perez-Arellano JL, Carranza C, Puente S, Lopez-Alban J, Muro A, 2006. A new PCR-based approach for the specific amplification of DNA from different Schistosoma species applicable to human urine samples. Parasitology 133: 581–587.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Al-Karawi KS, Al-Amro Al-Akloby OM, Mugharbel RM, 2004. Ectopic cutaneous schistosomiasis. Int J Dermatol 43: 550–551.

  • 8.

    Farrell AM, Woodrow D, Bryceson AD, Bunker CB, Cream JJ, 1996. Ectopic cutaneous schistosomiasis: extragenital involvement with progressive upward spread. Br J Dermatol 135: 110–112.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    MacDonald DM, Morrison JG, 1976. Cutaneous ectopic schistosomiasis. BMJ 2: 619–620.

  • 10.

    Obasi OE, 1986. Cutaneous schistosomiasis in Nigeria. An update. Br J Dermatol 114: 597–602.

  • 11.

    Pistone T, Ezzedine K, Accoceberry I, Receveur MC, Juguet F, Malvy D, 2008. Ectopic cutaneous schistosomiasis-perigenital infiltrative granulomata in a 34-year-old French pregnant woman. Travel Med Infect Dis 6: 155–157.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Andrade Filho JS, Lopes MS, Corgozinho Filho AA, Pena GP, 1998. Ectopic cutaneous schistosomiasis: report of two cases and a review of the literature. Rev Inst Med Trop Sao Paulo 40: 253–257.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Clyti E, Faye O, Huerre M, Cisse L, N'Diaye A, Konare-Diawara H, Keita S, 1998. Case for diagnosis. Ectopic cutaneous schistosomiasis. Ann Dermatol Venereol 125: 737–738.

  • 14.

    Do Vale EC, Furtado T, 1987. Ectopic cutaneous schistosomiasis caused by Schistosoma mansoni. Med Cutan Ibero Lat Am 15: 233–237.

  • 15.

    Kick G, Schaller M, Korting HC, 2000. Late cutaneous schistosomiasis representing an isolated skin manifestation of Schistosoma mansoni infection. Dermatology 200: 144–146.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 16.

    Milligan A, Burns DA, 1988. Ectopic cutaneous schistosomiasis and schistosomal ocular inflammatory disease. Br J Dermatol 119: 793–798.

Past two years Past Year Past 30 Days
Abstract Views 250 192 13
Full Text Views 514 8 1
PDF Downloads 316 11 1
 
 
 
 
Affiliate Membership Banner
 
 
Research for Health Information Banner
 
 
CLOCKSS
 
 
 
Society Publishers Coalition Banner
Save