Neuro-cutaneous Syndrome (NCS): A New Disorder
Copyright 2000 by Omar M. Amin, Scottsdale, Arizona
(Published in Explore! Volume 10, Number2, 2001)
A new neuro-cutaneous syndrome (NCS) is described. It is characterized by neurological sensation of movement subcutaneously and/or in deeper tissues and cavities that is usually associated with mucoid cutaneous lesions from which one or more species of arthropods as well as unidentified fibers may be recovered.
|Fig. 1. Two receding lesions on the face of JM (1999), a young white American female from Colorado who spent time in Jamaica in the early 1990’s where she had many insect bites and skin abrasions shortly before first appearance of symptoms.|
This presentation is introductory in nature and is intended only to bring attention to a new disease entity that has not been previously reported. Attention is drawn herein to general manifestations of the initial pathology in a number of cases. No discussion of medical history, treatments, or outcome will be attempted at this time since most cases have not been satisfactorily resolved. These aspects will be discussed at a later date on a case by case basis as further progress allows and as more detailed information becomes available.
Results and Discussion
The neurological aspects of NCS are characterized by movement sensations of what patients commonly describe as “parasites” subcutaneously and/or in various body tissues and sinuses particularly in the head. In the latter case, movement sensations is either unipolar or bipolar and may proceed horizontally (from one side of the head to the other) or vertically into the neck, chest, or abdomen as well occasionally in the arms or legs. Movement sensations also occur subcutaneously in the head, body, or limbs that occasionally manifest as variably shaped bruises or waves of elevated ripples as personally observed by myself on the arm of JM (a patient).
The cutaneous aspects of NCS present in most cases experiencing the neurological aspects of the disorder. They usually present as open mucoid lesions that often grow and spread (Figs. 1-3), with fungal involvement. It is not known whether the fungal infections, when present, represent a causal factor in the lesion formation or secondary superimposed infection. Those patients are usually not immune compromised and have no intestinal parasites to which the cutaneous symptoms may have been a reaction. A common experience shared by most patients involve having puncture wounds, arthropod bites, or skin abrasions in a warm, moist, and moldy environment shortly before onset of symptoms.
|Fig. 2. Lesions on the face of MM, a 40 year old white American female from California who had intimate exposure to a boyfriend and pets, among other exposures, with identical symptoms in 1995 just before onset of symptoms.|