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<article xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:mml="http://www.w3.org/1998/Math/MathML" article-type="case-report"><?properties open_access?><front><journal-meta><journal-id journal-id-type="nlm-ta">Korean J Intern Med</journal-id><journal-id journal-id-type="iso-abbrev">Korean J. Intern. Med</journal-id><journal-id journal-id-type="publisher-id">KJIM</journal-id><journal-title-group><journal-title>The Korean Journal of Internal Medicine</journal-title></journal-title-group><issn pub-type="ppub">1226-3303</issn><issn pub-type="epub">2005-6648</issn><publisher><publisher-name>The Korean Association of Internal Medicine</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">23269896</article-id><article-id pub-id-type="pmc">3529254</article-id><article-id pub-id-type="doi">10.3904/kjim.2012.27.4.481</article-id><article-categories><subj-group subj-group-type="heading"><subject>Image of Interest</subject></subj-group></article-categories><title-group><article-title>Asymptomatic Disseminated Cysticercosis in an Immunocompetent Patient</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Oh</surname><given-names>Jee Youn</given-names></name><xref ref-type="aff" rid="A1-kjim-27-481">1</xref></contrib><contrib contrib-type="author"><name><surname>Kim</surname><given-names>Min Ja</given-names></name><xref ref-type="aff" rid="A1-kjim-27-481">1</xref></contrib><contrib contrib-type="author"><name><surname>Sohn</surname><given-names>Jang Wook</given-names></name><xref ref-type="aff" rid="A1-kjim-27-481">1</xref></contrib><contrib contrib-type="author"><name><surname>Hong</surname><given-names>Soon Jun</given-names></name><xref ref-type="aff" rid="A2-kjim-27-481">2</xref></contrib><contrib contrib-type="author"><name><surname>Yoon</surname><given-names>Young Kyung</given-names></name><xref ref-type="aff" rid="A1-kjim-27-481">1</xref></contrib></contrib-group><aff id="A1-kjim-27-481"><label>1</label>Division of Infectious Diseases, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.</aff><aff id="A2-kjim-27-481"><label>2</label>Division of Cardiology, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.</aff><pub-date pub-type="ppub"><month>12</month><year>2012</year></pub-date><pub-date pub-type="epub"><day>27</day><month>11</month><year>2012</year></pub-date><volume>27</volume><issue>4</issue><fpage>481</fpage><lpage>482</lpage><history><date date-type="received"><day>25</day><month>6</month><year>2012</year></date><date date-type="rev-recd"><day>26</day><month>6</month><year>2012</year></date><date date-type="accepted"><day>09</day><month>7</month><year>2012</year></date></history><permissions><copyright-statement>Copyright &#xA9; 2012 The Korean Association of Internal Medicine</copyright-statement><copyright-year>2012</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions></article-meta></front><body><p>A 68-year-old previously healthy man presented with chest discomfort. He was diagnosed with angina pectoris. Chest radiography showed multiple rice-like subcutaneous calcifications (<xref ref-type="fig" rid="F1-kjim-27-481">Fig. 1A</xref>). The patient confirmed that he had observed these subcutaneous nodules all over his body, which showed no change in number and size for over 10 years (<xref ref-type="fig" rid="F2-kjim-27-481">Fig. 2A</xref>). He lived in a rural area where pigs are raised and was fond of consuming pork; further, he confirmed having no past history of seizures and tuberculosis. Total serum immunoglobulin E level was 19.1 IU/mL. Blood enzyme-linked immunosorbent assay for <italic>Taenia solium</italic> was negative for cysticercosis IgG antibodies. Stool examination showed normal results. For evaluation of neurocysticercosis, brain computed tomography scan was performed, and a few dot-like calcified lesions in the brain parenchyma was observed (<xref ref-type="fig" rid="F1-kjim-27-481">Fig. 1B</xref>). Femur radiography showed numerous oval-shaped calcifications in the thigh soft tissue (<xref ref-type="fig" rid="F1-kjim-27-481">Fig. 1C</xref>). Analysis of subcutaneous tissue biopsy specimen from the upper left arm showed a well demarcated encapsulated calcific nodule in intramuscular area (<xref ref-type="fig" rid="F2-kjim-27-481">Fig. 2B and 2C</xref>). On the basis of the above results, we made a final diagnosis of disseminated cysticercosis. However, the patient presented only palpable subcutaneous nodules, and the diagnosis of disseminated cysticercosis was an incidental finding. No antiparasitic therapy was initiated, and the patient showed no complication at 7 months after diagnosis.</p></body><back><ack><title>Acknowledgments</title><p>The authors wish to thank Dr. Jeong Hyeon Lee, the Department of Pathology, Korea University Anam Hospital for the helpful pathological review.</p></ack><fn-group><fn fn-type="conflict"><p>No potential conflict of interest relevant to this article was reported.</p></fn></fn-group></back><floats-group><fig id="F1-kjim-27-481" position="float"><label>Figure 1</label><caption><p>(A) Chest radiography showing multiple rice-like subcutaneous calcifications. (B) Brain computed tomography showing a few dot-like calcified lesions in the brain parenchyma. (C) Femur radiography showing numerous oval-shaped calcifications in the soft tissue of the thigh.</p></caption><graphic xlink:href="kjim-27-481-g001"/></fig><fig id="F2-kjim-27-481" position="float"><label>Figure 2</label><caption><p>(A) Subcutaneous nodules were observed all over his body, but had not changed in number or size for more than 10 years. (B, C) Subcutaneous dystrophic calcification was demonstrated in the subcutaneous tissue biopsy specimen from the upper left arm (B: H&amp;E, &#xD7; 12.5; C: H&amp;E, &#xD7; 200).</p></caption><graphic xlink:href="kjim-27-481-g002"/></fig></floats-group></article>
