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Image Number 506 (Cutaneous Larva Migrans (Creeping Eruption))

 
Morphology:
Linear

Diagnosis: Cutaneous Larva Migrans (Creeping Eruption)

Site: Hand,dorsum

Sex: F

Age: 34

Type: Clinical

Description: Multipe,erythematous, serpiginous, pruritic plaques

Submitted by: Irfan Bari

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Differential Diagnosis

History: Cutaneous larva migrans is a characteristic itchy creeping skin eruption, usually of the hands and feet. It is due to a dog or pig hookworm, which  (larval stage)becomes 'lost' in the skin, unable to leave the skin and mature. There is a history of walking barefoot in sand or dirt in the tropics. Cryotherapy is often ineffective and albendazole 400mg daily for three to five days is curative. This patient was looking after the cattle shed in the village and was involved in cleansing the shed (using her hands quite often). She was effectively treated with Albendazole

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