Livedo reticularis-an unusual skin manifestation of disseminated strongyloidiasis: a case report with literature review

Authors

  • Pariya Ruxrungtham จุฬาลงกรณ์
  • Ratchathorn Panchaprateep DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, CHULALONGKORN UNIVERSITY; AND KING CHULALONGKORN MEMORIAL HOSPITAL, BANGKOK, THAILAND.
  • Pravit Asawanonda DIVISION OF DERMATOLOGY, DEPARTMENT OF MEDICINE, FACULTY OF MEDICINE, CHULALONGKORN UNIVERSITY; AND KING CHULALONGKORN MEMORIAL HOSPITAL, BANGKOK, THAILAND.

Keywords:

Disseminated strongyloidiasis, thumbprint purpura, livedo reticularis

Abstract

A 71-year-old woman, with active autoimmune hepatitis, was treated with immunosuppressive drugs and presented with a1-month history of fever and diarrhea, dyspnea, and sudden eruptions of purpuric macules on the abdomen typical for disseminated strongyloidiasis, together with presence of Strongyloid larvae in rectum and sigmoid colon biopsies, and sputum fresh smear. Eight days into ivermectin treatment net-like purpuric patches on both thighs were observed and faded completely within 24 hours. The patient recovered fully after treatment completion.

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Published

2019-10-01

How to Cite

Ruxrungtham, P., Panchaprateep, R., & Asawanonda, P. (2019). Livedo reticularis-an unusual skin manifestation of disseminated strongyloidiasis: a case report with literature review. Thai Journal of Dermatology, 35(3), 139–143. Retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/162333