A five-year-old child with a subcutaneous forehead nodule.

TitleA five-year-old child with a subcutaneous forehead nodule.
Publication TypeJournal Article
Year of Publication2015
AuthorsWestblade LF, Fischer PU, Haghi N, Schniederjan MJ, Pritt BS, Long JG, Jerris RC, Garola RE
JournalPediatr Dev Pathol
Volume18
Issue2
Pagination164-6
Date Published2015 Mar-Apr
ISSN1093-5266
KeywordsAnimals, Antiparasitic Agents, Biopsy, Child, Preschool, Female, Forehead, Humans, Immunohistochemistry, Ivermectin, Onchocerca, Onchocerciasis, Predictive Value of Tests, Subcutaneous Tissue, Treatment Outcome
Abstract

We describe a case of a 5-year-old girl with onchocerciasis. The patient was recently adopted from Ethiopia and presented with a firm, raised nodule on the midportion of the forehead. Initially, Langerhans cell histiocytosis with bone involvement was suspected; however, histopathologic analysis of the excised nodule revealed the presence of a young-adult, female Onchocerca volvulus worm. This case exemplifies the importance of recognizing the key morphologic characteristics of adult O. volvulus worms isolated from pediatric patients in nonendemic areas to ensure adroit clinical management.

DOI10.2350/14-08-1545-CR.1
Alternate JournalPediatr Dev Pathol
PubMed ID25569144
Related Faculty: 
Lars Westblade, Ph.D.

Pathology & Laboratory Medicine 1300 York Avenue New York, NY 10065 Phone: (212) 746-6464
Surgical Pathology: (212) 746-2700