# Guinea Worm Disease Presenting as a Subcutaneous Calcification

## TL;DR

A woman in India had thigh swellings for years, later diagnosed as guinea worm disease, a rare case with unusual symptoms.

## Contribution

This case presents an unusual subcutaneous calcification as a manifestation of guinea worm disease.

## Key findings

- Radiological investigations showed subcutaneous calcifications without clear diagnosis.
- Histopathological analysis of the excised specimen confirmed guinea worm disease.
- The patient had no known risk factors for the disease.

## Abstract

A female patient in her early 50s presented with a complaint of multiple right thigh swellings for eight years which on evaluation were found to be guinea worms. The patient had no risk factors as she was living in a rural area of Maharashtra. We performed radiological investigations which only revealed calcifications in subcutaneous planes. On exploring the excised specimen post-surgery there was a worm-like appearance which on histopathological study confirmed guinea worm disease.

We highlight this unusual presentation of guinea worm disease so that surgeons can treat the condition effectively.