
The first documented case of loiasis occured in 1770 in a girl from the
West Indies who was observed to have a Loa loa worm migrating
across her
conjunctiva (Garcia, 2001). Roger Argyll-Robertson (pictured above)
recorded the first comprehensive description of the Loa loa worm in 1895 after he removed an
adult worm of each sex from the conjunctiva of a West African
woman (Argyll-Robertson, 1895). Argyll-Robertson described in detail the
clinical presentation of the patient's infection, especially the
swellings on her arm. Because the patient had lived in Old Calabar,
the patches of edema were referred to as Calabar swellings. That
terminology has been used to describe the swellings associated with loiasis to this day
(Garcia, 2001). Robert Thomson Leiper first established that Chrysops dimidaiata
and Chrysops silacae were the vectors for Loa loa (Leiper, 1913).
This image of Douglas Argyll Robertson is from the Clendening
History
of Medicine Library and Museum at the
University of Kansas Medical Center.