Parasites are an uncommon cause of panniculitis but should be considered if certain findings are present.
Parasitic infections associated with panniculitis include:
(1) gnathostomiasis
(2) schistosomiasis
(3) leishmaniasis (cutaneous, visceral)
(4) Chagas disease (Trypanosoma cruzi)
(5) acanthamoeba
(6) toxoplasmosis
(7) larva migrans (toxocariasis)
Reasons to suspect a parasitic infection:
(1) risk factors for parasitic infection
(2) presence of parasitic lesions elsewhere
(3) eosinophilic panniculitis
(3) granulomatous panniculitis
(4) presence of a structure consistent with egg, larva or worm