Premium
Follicular cutaneous larva migrans: a report of three cases and review of the literature
Author(s) -
Veraldi Stefano,
Persico Maria Chiara,
Francia Claudia,
Nazzaro Gianluca,
Gianotti Raffaele
Publication year - 2013
Publication title -
international journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.677
H-Index - 93
eISSN - 1365-4632
pISSN - 0011-9059
DOI - 10.1111/j.1365-4632.2012.05723.x
Subject(s) - medicine , albendazole , cutaneous larva migrans , buttocks , dermatology , pathology , larva migrans , helminthiasis , surgery
Background Hookworm‐related cutaneous larva migrans ( CLM ) is characterized clinically by erythematous and slightly raised tracks, located especially on the feet. These tracks may be single or multiple, linear or serpiginous, more or less ramified and intertwined. The length is variable (up to many cm); the width ranges from 1 mm to 4 mm. Tracks are often accompanied by severe pruritus. Methods Three adult Caucasian patients recently returned from trips to M alaysia and T hailand, presented with follicular CLM . The disease was characterized clinically by follicular, erythematous, small papules that were sometimes topped with vesicles or pustules, located on the buttocks. Pruritus was severe. Results Histopathological examinations revealed a perifollicular infiltrate predominantly consisting of lymphocytes and eosinophils. All patients were successfully treated with oral albendazole (400 mg/day for seven days). In the first patient, two courses were necessary. Conclusions Dermatologists should be aware of the existence of this rare and atypical, although emerging, clinical presentation of hookworm‐related CLM .