ECTOPIC CUTANEOUS SCHISTOSOMIASIS - EXTRAGENITAL INVOLVEMENT WITH PROGRESSIVE UPWARD SPREAD

The ectopic deposition of ova of Schistosoma haematobium within the de rmis is very rare, even in countries where infection with this tremato de is widespread. When it does occur, it usually affects the genital a rea. We report a patient who developed ectopic genital and extragenita l cutaneous involvement 4 months after swimming in Lake Malawi. The le sions appeared sequentially and spread from the genitalia in a caudoce phalic manner. Doppler imaging of the pelvic veins did not reveal any anomalous venous drainage to account for the distribution of these les ions.