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Ann Dermatol Venereol. 2017 Oct;144(10):607-611. doi: 10.1016/j.annder.2017.05.006. Epub 2017 Jun 19.

[Update on cutaneous dirofilariasis].

[Article in French]

Author information

1
Service de dermatologie, hôpital Nord, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, 13015 Marseille, France. Electronic address: michael.benzaquen@ap-hm.fr.
2
Service de dermatologie, hôpital Nord, Assistance publique-Hôpitaux de Marseille, Aix-Marseille université, 13015 Marseille, France.
3
UM63, CNRS 7278, IRD 198 (Dakar), Inserm 1095, unité de recherche en maladies infectieuses et tropicales emergentes (URMITE), institut hospitalo-universitaire méditerranée infection, Aix-Marseille université, 19-21, boulevard Jean-Moulin, 13005 Marseille, France.

Abstract

Dirofilariasis is a worldwide zoonotic infection that rarely affects humans and is caused by filarial nematodes of the genus Diroflaria transmitted by mosquitoes. Cutaneous dirofilariasis, due to D. repens, presents as inflammatory lesions that develop into subcutaneous nodules. These clinical symptoms may be consistent with Wells' cellulitis. Diagnosis of dirofilariasis involves demonstration of the presence of the nematode during skin biopsy and identification of the worm through macroscopic, histological and PCR analysis. Surgical resection of the nodule remains the gold standard treatment. The number of cases of human cutaneous dirofilariasis has increased in the recent years and the disease must not be misdiagnosed.

KEYWORDS:

Cellulite de Wells; Cutaneous dirofilariasis; Dirofilaria repens; Dirofilariose cutanée; Global warming; Parasitose; Parasitosis; Réchauffement climatique; Wells’ cellulitis

PMID:
28641877
DOI:
10.1016/j.annder.2017.05.006
[Indexed for MEDLINE]

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