This week's case was generously donated by Dr. Josette McMichael, an American dermatologist currently working in east Africa. The patient is an elderly woman who presented with a 2-week history of 10 pruritic burning nodules involving her left upper arm, face, breast, chest, trunk, and legs. Here is a video of one of the lesions:
This object was removed and placed in a sterile container without preservative:
It was still quite lively!
Approximately 1 week later, it was sent to my lab for identification. Even though it had darkened significantly, the diagnostic features were still apparent. Here is the posterior end:
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