1. The diagnosis of cutaneous paragonimiasis after the external migration of the parasite from a punch biopsy site 
An Jiang, MD, Lan Ge, MD, PhD, Yi You, MD, PhD, Zhu Shen, MD, PhD 
JAAD Case Reports 
Volume 1, Issue 5, Pages (September 2015)
DOI: /j.jdcr
Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

2. Fig 1
Erythema and edematous plaque of the right labia majora, measuring 4 cm × 6 cm.
JAAD Case Reports 2015 1, DOI: ( /j.jdcr )
Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

3. Fig 2
A live parasite crawled out of the patient's genital area just below the biopsy site. It shows a brown parasite about 0.5 cm in length.
JAAD Case Reports 2015 1, DOI: ( /j.jdcr )
Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

4. Fig 3
The results of enzyme-linked immunosorbent assay and dot immunogold filtration assay kit for Paragonimus westermani. A, Negative control. B, The sample.
JAAD Case Reports 2015 1, DOI: ( /j.jdcr )
Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

5. Fig 4
The results of lesional histopathology. Massive eosinophil infiltration was found in the whole dermis and subcutis tissue. Insert shows regional magnification of eosinophils infiltration. (Hematoxylin-eosin stain.)
JAAD Case Reports 2015 1, DOI: ( /j.jdcr )
Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions

6. Fig 5
The result posttreatment. There was a good response to praziquantel (75 mg/kg). The swelling in her right vulva region disappeared.
JAAD Case Reports 2015 1, DOI: ( /j.jdcr )
Copyright © 2015 American Academy of Dermatology, Inc. Terms and Conditions