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* <spoiler text="How do Schistosoma mansoni eggs cause liver pathology?">A substance released from the eggs is a direct hepatotoxin. The eggs incite a chronic granulomatous inflammatory reaction (thought to be mediated by TNFa and T-helper cells). And schistosome eggs stimulate lymphocytes to secrete lymphokines that stimulate periportal fibrosis.</spoiler>
* <spoiler text="How does the clinical picture of S. haematobium differ from that of the other schistosomes?">S. haematobium leads to granulomatous lesions in the urinary bladder that can erode the surface epithelium and lead to hematuria. Chronic inflammation and fibrosis can lead to obstruction, hydronephrosis and ascending bacterial infections. There is also an increased risk for squamous cell carcinoma of the bladder.</spoiler>
== Additional Resources ==
=== Reference ===
* [http://emedicine.medscape.com/article/228392-overview eMedicine Medical Library: Schistosomiasis]
* [http://emedicine.medscape.com/article/788867-overview eMedicine Medical Library: Emergent Management of Acute Schistosomiasis]
* [http://www.merckmanuals.com/professional/infectious_diseases/trematodes_flukes/schistosomiasis.html Merck Manual: Schistosomiasis]
=== Images ===
* [{{SERVER}}/library/index.php?/tags/2164-schistosoma PEIR Digital Library: Schistosomiasis Images]
* [http://library.med.utah.edu/WebPath/GIHTML/GIIDX.html WebPath: Gastrointestinal Pathology]
* [http://library.med.utah.edu/WebPath/LIVEHTML/LIVERIDX.html WebPath: Hepatic Pathology]
== Related IPLab Cases ==
* [[IPLab:Lab 2:Fatty Change and Cirrhosis|Lab 2: Liver: Fatty Change and Cirrhosis]]
{{IPLab 11}}
[[Category: IPLab:Lab 11]]