title: [What is your diagnosis? A "fat arm". Onchocerciasis].
abstract: We report a case of edema of the right forearm with pruriginous papules and eosinophilia in the blood. The patient had lived in a forested area of Cameroon. The clinical, laboratory, and geographical findings led to a diagnosis of onchocerciasis, despite the absence of microfilaments on skin biopsy samples. The patient was successfully treated with ivermectin and doxycycline.
authors.affiliation: Fédération des laboratoires, hôpital d'instruction des armées Bégin, 94160 Saint-Mandé, France.
authors.forename: A
authors.initials: A
authors.lastname: Bousquet
authors.affiliation: Fédération des laboratoires, hôpital d'instruction des armées Bégin, 94160 Saint-Mandé, France.
authors.forename: S
authors.initials: S
authors.lastname: Larréché
authors.affiliation: Service de dermatologie, hôpital d'instruction des armées Bégin, Saint-Mandé, France.
authors.forename: C
authors.initials: C
authors.lastname: Elhadji Toumane
authors.affiliation: Service de dermatologie, hôpital d'instruction des armées Bégin, Saint-Mandé, France.
authors.forename: M
authors.initials: M
authors.lastname: Dupin
authors.affiliation: Faculté de médecine, Créteil, France.
authors.forename: J
authors.initials: J
authors.lastname: Avignant
authors.affiliation: Fédération des laboratoires, hôpital d'instruction des armées Bégin, 94160 Saint-Mandé, France.
authors.forename: A
authors.initials: A
authors.lastname: Mérens
authors.affiliation: Service de dermatologie, hôpital d'instruction des armées Bégin, Saint-Mandé, France.
authors.forename: F
authors.initials: F
authors.lastname: Maccari
mesh_terms: D002163:Cameroon; D004487:Edema / Q000469:parasitology*; D004802:Eosinophilia / Q000469:parasitology; D005260:Female; D005542:Forearm; D065928:Forests; D006801:Humans; D008875:Middle Aged; D009855:Onchocerciasis / Q000175:diagnosis*
keywords: edema; eosinophilia; filaria; onchocerciasis; pruritus