Tungiasis Bilder

Tungiasis: Unusual extensive skin finding 4 weeks after bathing holiday in south-east asia in a 34-year-old woman. first itchy nodules 2-3 days after visiting the beach. continuous increase of clinical symptoms accompanied by severe itching. extensive finding of severely itching, disseminated, streaked papules on the back, both shoulders and the extensor sides of the arms (accidental contact with the surface of the ground).

Tungiasis: Detail enlargement of the previous overview. densely standing, 1-5 mm large, partly roundish, but mostly stripy reddish-livid papules (duct structures; see right in the picture) which almost always show a small encrusted erosion at the edge (entry site of the fleas). In the center of the picture the efflorescences are overlaid by scaling.