Cutaneous larva migrans in the northeastern US.

Autor: Johanis M, Cheema KS, Young PA, Narala S, Saleem A, Novoa RA, Bae GH; Department of Dermatology, Stanford University School of Medicine, Redwood City, California, USA. GBae@Stanford.edu.
Jazyk: angličtina
Zdroj: Dermatology online journal [Dermatol Online J] 2023 Aug 15; Vol. 29 (4). Date of Electronic Publication: 2023 Aug 15.
DOI: 10.5070/D329461906
Abstrakt: Cutaneous larva migrans (CLM) is a dermo-epidermal parasitic infection with a disproportionate incidence in developing countries, particularly in, and near tropical areas. It is characterized by erythematous, twisting, and linear plaques that can migrate to adjacent skin. Herein, we present an otherwise healthy 45-year-old woman who acquired a pruritic, erythematous, and serpiginous rash localized to her right medial ankle during a trip to New England. Oral ivermectin, the preferred first-line treatment for cutaneous larva migrans, was administered in combination with triamcinolone. This was followed by removal of the papular area via punch biopsy; treatment was successful with a one-week recovery. Although cutaneous larva migrans has traditionally been considered a tropical disease, clinicians should be cognizant of its expanding geographic spread.
Databáze: MEDLINE