Leukoderma with perifollicular sparing: a diagnostic clue of cutaneous onchocerciasis

By JOM Staff

01.17.23

A 52-year-old woman presented to our global health outreach clinic in Uganda in May 2018 with complaint of a pruritic rash of three years duration. She denied ocular symptoms, fevers, chills, or additional systemic symptoms. Cutaneous examination revealed diffuse depigmentation with follicular sparing on the lower right dorsal distal extremity (Figure 1). A total of two skin snips were completed and demonstrated microfilariae. The patient was then diagnosed with cutaneous onchocerciasis and treated with oral ivermectin.

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