<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2795-5001</journal-id>
<journal-title><![CDATA[Portuguese Journal of Dermatology and Venereology]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Dermatol Venereol.]]></abbrev-journal-title>
<issn>2795-5001</issn>
<publisher>
<publisher-name><![CDATA[Permanyer Publications]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2795-50012022000300222</article-id>
<article-id pub-id-type="doi">10.24875/pjdv.m22000034</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Cutaneous ectopic schistosomiasis associated with Löffler syndrome. A rare case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Esquistossomose ectópica cutânea associada a síndrome de Löffler. Um raro relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zitta]]></surname>
<given-names><![CDATA[Ana Laura L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grassato]]></surname>
<given-names><![CDATA[Amanda R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[Jéssica M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rosa]]></surname>
<given-names><![CDATA[Ana Maria M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Antônio]]></surname>
<given-names><![CDATA[João R.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Base de São José do Rio Preto Serviço de Dermatologia da FAMERP ]]></institution>
<addr-line><![CDATA[Sao Paulo ]]></addr-line>
<country>Brasil</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2022</year>
</pub-date>
<volume>80</volume>
<numero>3</numero>
<fpage>222</fpage>
<lpage>226</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2795-50012022000300222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2795-50012022000300222&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2795-50012022000300222&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Schistosomiasis mansoni is an endemic disease in Brazil, usually causing systemic symptoms, mainly gastrointestinal. Skin lesions are best described in the acute phase of the infection, with ectopic skin lesions rarely seen. We report a case of schistosomiasis with rare ectopic cutaneous involvement, with perianal papules and plaques, acquired in the state of São Paulo in 2020. At the beginning of the investigation, the hypothesis of infection by COVID-19 was raised, due to a pulmonary condition, but it was discarded after a negative PCR for the virus. Due to eosinophilia, pulmonary CT characteristics and epidemiology, Löffler&#8217;s syndrome was suspected. The definitive diagnosis of schistosomiasis was given, after the onset of the skin rash, by the anatomopathological examination of the skin biopsy, thus avoiding an invasive examination&#8212;lung biopsy, in the patient who was using anticoagulants. The protoparasitological examination of faeces was negative. The patient was treated with Praziquantel, with the improvement of the condition. This report demonstrates the importance of dermatological examination and skin biopsy for the definitive diagnosis of Schistosomiasis in a patient with severe systemic manifestations.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A esquistossomose mansônica é uma doença endêmica no Brasil, causando geralmente sintomas sistêmicos, principalmente gastrointestinais. As lesões cutâneas na doença são melhores descritas na fase aguda da infecção, sendo que lesões cutâneas ectópicas são raramente vistas. Relata-se o caso de esquistossomose com acometimento cutâneo ectópico raro, localizado à região perianal e glútea, adquirido no estado de São Paulo em 2020. No início da investigação diagnóstica fora aventada hipótese de infecção por COVID-19, devido quadro pulmonar, mas esta foi descartada após PCR negativo para o vírus. Em decorrência da eosinofilia, características da TC pulmonar e epidemiologia suspeitou-se de síndrome de Löffler. O diagnóstico definitivo de esquistossomose foi dado, após início do quadro cutâneo, pelo exame anatomopatológico da biopsia da lesão, evitando assim um exame invasivo - biópsia pulmonar, no paciente que estava em uso de anticoagulantes. O exame protoparasitológico de fezes foi negativo. O paciente foi tratado com praziquantel, evoluindo com melhora do quadro. Este relato demonstra a importância do exame dermatológico e da biópsia de pele para o diagnóstico definitivo num paciente com manifestações sistêmicas graves.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Cutaneous schistosomiasis]]></kwd>
<kwd lng="en"><![CDATA[Schistosomiasis mansoni]]></kwd>
<kwd lng="en"><![CDATA[Neglected diseases]]></kwd>
<kwd lng="en"><![CDATA[Parasitic diseases]]></kwd>
<kwd lng="en"><![CDATA[Loffler syndrome]]></kwd>
<kwd lng="pt"><![CDATA[Esquistossomose cutânea]]></kwd>
<kwd lng="pt"><![CDATA[Esquistossomose mansoni]]></kwd>
<kwd lng="pt"><![CDATA[Doenças negligenciadas]]></kwd>
<kwd lng="pt"><![CDATA[parasitose]]></kwd>
<kwd lng="pt"><![CDATA[Síndrome de Loffler]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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