PDF(Pubmed)
Abstract：
The diagnosis of skin lesions involving the eyes can be challenging, especially when uncommon etiologies are considered. We present a case of a 52-year-old female initially diagnosed with blepharoconjunctivitis but later found to have a subcutaneous heartworm infection. The patient experienced recurrent episodes of unilateral palpebral edema, pain, pruritus, and a sensation of a foreign body in her eye. Upon examination, a vermiform structure with peristaltic movements was observed, raising suspicion of subcutaneous dirofilariasis and prompting further investigations. Serological tests confirmed the presence of anti-Dirofilaria spp. antibodies. Surgical removal of the worm led to the resolution of symptoms. This case highlights the importance of considering uncommon etiologies, such as subcutaneous heartworm infection, in patients presenting with atypical migratory skin lesions or ocular manifestations when there is no definite diagnosis and the condition does not respond to usual medical treatment.
摘要：
涉及眼睛的皮肤病变的诊断可能具有挑战性，特别是当考虑到不常见的病因时。我们介绍了一例52岁的女性，最初被诊断患有眼睑结膜炎，但后来发现患有皮下心丝虫感染。患者经历了单侧睑水肿的反复发作，疼痛,瘙痒,她眼睛里有异物的感觉.经检查,观察到具有蠕动运动的蠕虫状结构，怀疑皮下丝虫病并促使进一步调查。血清学测试证实了抗Dirofilaria的存在。抗体。通过手术切除蠕虫可以缓解症状。这个案例强调了考虑罕见病因的重要性，例如皮下心丝虫感染，在没有明确诊断且病情对常规药物治疗无反应的情况下，表现为非典型迁徙性皮肤病变或眼部表现的患者。
