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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2222 - 14 December 2018 Posted By: Dr. Richard Carr

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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F60. Vulva. Thickened labium.


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Mohamed khaled

Posted (edited)

I think these are ova of schistosomiasis.

Edited by Mohamed khaled

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Alex-Ventura-Leon

Posted

Vulvar Schistosomiasis is my impression too.

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It seems the ova have apical spines. Schistosoma haematobium is the likely species. 

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I worked a lot of months in Victoria-Lake ( Mwanza-Tanzania ) at Bugando-Hospital. Schistosomiasis is endemic there. Urogenital system was the hottest, if memory serves...

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Dr. Richard Carr

Posted

Yes this was another external quality assurance case. There was a history of foreign travel but I don't know anything else. There was a great majority for schistosomiasis with a few responders mentioning scabies, insect bite and amoebiasis.

I strongly suspect I picked it up myself at some stage as I swam and bathed in Lake Malawi several times. I was doing an autopsy study of cerebral malaria in Malawi (a study for which I would spend several weeks per year, during the rainy season, working in Blantyre). We travelled around a bit and Lake Malawi is a tropical paradise with sandy beaches and small fish that come and nibble gently at your feet! Too tempting not to swim! Funnily enough a much older and retired pathologist who worked in Warwick years before had a daughter living in Malawi had a prostate specimen sent to our lab a few years later and I reported the schisto in his specimen!

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