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Aetiologies of creeping eruption: 78 cases
Author(s) -
Vanhaecke C.,
Perig A.,
Monsel G.,
Regnier S.,
Paris L.,
Caumes E.
Publication year - 2014
Publication title -
british journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.304
H-Index - 179
eISSN - 1365-2133
pISSN - 0007-0963
DOI - 10.1111/bjd.12637
Subject(s) - cutaneous larva migrans , dermatology , medicine , folliculitis , helminthiasis , pathology , larva migrans
Summary Background Creeping eruption is a migratory linear cutaneous trail. In addition to hookworm‐related cutaneous larva migrans ( H r CLM ), other diseases can also be revealed by this sign. Objectives To report the different aetiologies of creeping eruption. Methods All consecutive patients with creeping eruption presenting to our unit in P itié S alpêtrière H ospital in P aris between 1 M arch 2008 and 31 J anuary 2013 were included. The diagnoses were based on microscopic data when available (hookworm folliculitis, strongyloidiasis) or the association of epidemiological, clinical, biological features and good outcome after specific treatment ( H r CLM , loiasis, gnathostomiasis). Results Seventy‐four patients (95%) presented with H r CLM . All but one had been travelling in a tropical country; seven (9%) also presented with folliculitis. Skin scraping of hookworm folliculitis lesions was performed in five cases and revealed living nematode larvae in three cases. Two patients (3%) with cutaneous gnathostomiasis after returning from B ali and J apan presented with intermittent creeping dermatitis on the foot and thigh, respectively. One patient (1%), native to C ameroon, was diagnosed with loiasis and one patient (1%), with no travel history, presented with ‘creeping hair’. Conclusion Hookworm‐related cutaneous larva migrans explains 95% of the cases of creeping eruption; gnathostomiasis, loiasis and cutaneous pili migrans may also be diagnosed.