A 33-year-old woman with a 10-day history of HIV infection receiving antiretroviral treatment, who became infected in Brazil.
One week after returning to Chile, the patient developed painful brownish-brown skin lesions on the left foot pruriginous, measuring 5-6 mm.
Dermoscopy revealed a dark brown central ring surrounded by a halo blanque hyperkeratotic.
Treatment consisted of removal and curettage of the wound bed followed by cryotherapy with liquid nitrogen.
The image of the flea, once extracted, allowed the observation of a yellowish-brown structure and some white eggs, compatible with the appearance of the brown appearance in its periphery.
The patient recovered satisfactorily without presenting new lesions.
1.
In the three cases presented above, considering the morphology and location of the lesions associated with a history of travel to endemic areas of tungiasis, the diagnosis was made clinically without the need for histopathological analysis.
