Figure 3.

(A) A 51-year-old patient from the shoe group with ∼140 lesions at both feet. Most of the lesions occurred as clusters at the toes and the sole. They are accompanied by fissures, desquamation, erythema, and oedema. (B) After 4 weeks the clinical pathology has not regressed. Several ulcers are visible at the soles, the first and the forth left toe. (C) The same individual after 6 weeks. The clinical pathology had slightly decreased. Clusters at the sole and the fifth toe of both feet have disappeared, but new clusters have appeared at other locations. The fifth toe of the right foot is heavily inflamed. (D) After 10 weeks the clinical pathology remained high. Several lesion clusters still occurred at the toes and the sole of the feet, and fissures. Between both the first toes of the left and the right foot eggs of Tunga penetrans are being expelled.