Localized papular cutaneous schistosomiasis: two cases in travellers

Schistosomiasis is endemic in many parts of the tropics and subtropics with an estimated 200 million people, at least, infected worldwide. The symptom s and signs of vesical and gastrointestinal forms are readily recognized bu t ectopic forms are rare even in endemic areas and present a greater diagno stic challenge, particularly when they are encountered in nontropical clime s. We now report two cases of cutaneous schistosomiasis presenting in Edinb urgh with subtle, but remarkably similar, skin lesions.