A 62 yr old man presented with 4 weeks history of pruritic papular lesions on the thighs bilaterally which then spread to the legs. The pruritus was intermittent and he felt feverish at times. No history of trauma. He is a retired fisherman and lives in Teluk Intan about 60 km south of Ipoh, Malaysia.
Lab: Blood counts showed normal TWBC with 7% eosinophils. The physician did a colonoscopy last month and biopsy suggested underlying parasitic colon infection.
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