Dermatology 2013

Notes: Kisacik, Bunyamin

Onat, Ahmet Mesut

Pehlivan, Yavuz

eng

Comparative Study

Germany

2012/03/24 06:00

Rheumatol Int. 2013 Feb;33(2):315-8. doi: 10.1007/s00296-012-2413-5. Epub 2012 Mar 24.

URL: http://www.ncbi.nlm.nih.gov/pubmed/22441968

Author Address: Department of Internal Medicine Division of Rheumatology, Gaziantep University Faculty of Medicine, 27100 Sahinbey, Gaziantep, Turkey. bunyaminkisacik@yahoo.com

 

 

Reference Type:  Journal Article

Record Number: 4274Author: Kitchen, M., Wilhelm, M., Moser-Oberthaler, S., Hopfl, R., Ratzinger, G., Nguyen, V. A. and Schmuth, M.

Year: 2014

Title: [Pitfalls in diagnosis and treatment of cutaneous larva migrans: three unusual cases from a dermatology clinic]

Journal: Wien Klin Wochenschr

Volume: 126 Suppl 1

Pages: S46-50

Date: Apr

Short Title: [Pitfalls in diagnosis and treatment of cutaneous larva migrans: three unusual cases from a dermatology clinic]

Alternate Journal: Wiener klinische Wochenschrift

ISSN: 1613-7671 (Electronic)

0043-5325 (Linking)

DOI: 10.1007/s00508-013-0446-8

Original Publication: Das kutane Larva migrans Syndrom: Schwierigkeiten bei Diagnose und Behandlung anhand von drei Fallbeispielen.

Accession Number: 24249319

Abstract: Cutaneous larva migrans (CLM, creeping eruption) is a skin disease commonly seen in travelers returning from the tropics. The lesions are caused by intradermal migration of animal hookworm larvae which cannot mature in humans. While the typical serpiginous skin lesions are easily diagnosed and treated with albendazole or ivermectin, unusual presentations can be misdiagnosed and cause prolonged morbidity. We present 3 cases of CLM, which were difficult to diagnose and/or treat.Case 1 is a 34-year old Caucasian male who presented with itchy papular lesions on the soles of both feet and was initially treated for plantar psoriasis.Case 2 is a 54-year old Caucasian male who suffered from extensive follicular larva migrans on the buttocks for several months and was only cured after repeated courses of albendazole and ivermectin.Case 3 is a 29-year old Caucasian male with pruritic inflammatory papules on the trunk. Despite extensive diagnostic procedures including skin biopsies and tissue cultures the correct diagnosis was only made later during the course of the illness. After treatment for CLM with albendazole (800 mg/d for 3 days) and after resolution of perifocal edema and inflammation the typical serpiginous tracks became more obvious. They responded rapidly to anthelminthic treatment.These cases highlight the importance of careful history taking and work-up in individuals presenting with atypical skin lesions. In case of exposure to CLM empiric anthelminthic treatment might be considered.

Pages: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 226 227 228 229 230 231 232 233 234 235 236 237 238 239 240 241 242 243 244 245 246 247 248 249 250 251 252 253 254 255 256 257 258 259 260 261 262 263 264 265 266 267 268 269 270 271 272 273 274 275 276 277 278 279 280 281 282 283 284 285 286 287 288 289 290 291 292 293 294 295