Subcutaneous cysticercosis involving the eyelid: sonographic diagnosis.
A 25-year-old man and a 14-year-old boy presented with neurocutaneous cysticercosis involving the eyelid. Both patients had hundreds of scattered subcutaneous cysticerci. They were arranged in clusters over the sternocleidomastoid muscle in the neck. Such clustering of cysticerci is highly suggestive of central nervous system (CNS) involvement, as both the sternocleidomastoid muscle and the CNS are supplied by the carotid artery and cysticerci travel via the hematogenous route. We used ultrasonography to diagnose subcutaneous cysticercosis, which showed characteristic low reflective cysts and high reflective scolices inside. Although subcutaneous cysticerci are inconsequential, their verification is important in the diagnosis of more severe CNS involvement. They may be confused with other painless swellings such as lymphadenopathies, neurofibromas, and epidermoid cysts.
Gupta
S
S
Department of Dermatology and STD, Postgraduate Institute of Medical Sciences, Rohtak, Haryana, India.
Jain
V K
VK
Sen
J
J
Gupta
S
S
Arora
B
B
D000293:Adolescent; D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000871:Anthelmintics / Q000627:therapeutic use; D000977:Antiparasitic Agents; D003551:Cysticercosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D015822:Eye Infections, Parasitic / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D005141:Eyelid Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D020019:Neurocysticercosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use; D012876:Skin Diseases, Parasitic / Q000000981:diagnostic imaging* / Q000473:pathology; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
D000871:Anthelmintics; D000977:Antiparasitic Agents; D005938:Glucocorticoids; D011239:Prednisolone; D015766:Albendazole