Case Number : Case 1530 - 05 May Posted By: Guest

I m thinking of well's syndrome. Not sure if this is a flame figure or some kind of parasite(e.g. microfilariae ?).

It is a difficult case. I think this might be a cyst containing bradyzoites of Toxoplasmosis in the dermis.

Agree with Igor.

I find it hard too, for me is too focalised, big and irregular for toxoplasmosis cyst. I was considering in the differential even an arthropod bite with rests persisting on the dermis (sting, etc)

I watched with more attention and I agree with toxoplasmosis as you guys proposed

Strongyloidiasis to DDx.

"What about a eosinophilic folliculitis around a residual pilar shaft?"-Demodex?

Looks like a parasite, favour Strongyloidiasis.

Strongyloidiasis.  This patient has a strongyloides hyperinfection (also seen in the CSF).