اﻠﻤﻬاﺠرﺔ اﻠﺠﻠدﻴﺔ اﻠﻴرﻘﺔ=

1 / 3 اﻠﻤﻬاﺠرﺔ اﻠﺠﻠدﻴﺔ اﻠﻴرﻘﺔ=Cutaneous larva migrans

2 / 3 اﻠﻤﻬاﺠرﺔ اﻠﺠﻠدﻴﺔ اﻠﻴرﻘﺔ=Cutaneous larva migrans

EpidemiologyCreepinghunter'sdifferentSynonymsMIGRANSCUTANEOUS itch.parasites eruption,. These. LARVA creeping terms describe verminous a sign dermatitis, (itching andsandworm creeping eruption, dermatitis) plumber's caused itch, by severalduck ThetheClinicalcontaminatedweeks.usuallyeosinophilicinvadeMostAncylostomathatEuropeanandEtiologyCutaneoussub-tropicalSouthorbeach, soil most produceA.timehuman often, America,contaminated caninum. deeperandThird-stagebetweenFindings. andprominentfrom dogs), larva theworkingisareas,inflammatoryenteritis Pathogenesis.similarbraziliense withan exposuretissues larvaeIndia, themigransandaberrant, especially larvaefindings. indiseasestratumwithas Bunostomum andofandcrawl well to animalis animal(CLM) reaction.feces. penetrate Southeastonsetdiedead-endthe asspacesincludegerminativum the after mostcutaneous isfeces,The ofsoutheastern widely Most symptomsphlebotomumdays undercommonA. humaninfectivehostAsia. caninum,such larvae to distributed who disease.houses.andActivities months. skincauseas cause. larvae is acquires Unitedstratumareplaying usuallyandUncinaria ( hookworm-relatedunableCats thatandmayOthermigrate States, corneum. in the a andposemost remaina few tostenocephala skin-penetratingsandbox,parasite dogsundergoup of Caribbean, (1acommonly cattle).risk to toviableThis are several6) includefrom CLM walking days.furtherinduceshosts A.in (hookwormfound ,ansoil caninumcentimeters(HrCLM). hookworm Skincontactfor environment development barefoot fora inA. localized Central changesseveral tropicalceylanicum causes with of onlarvaea andsandday, aand areor to Anotherfolliculitispustules,orusually LesionssinglefewfromExcoriationTheserpentineCUTANEOUSSystemicpatients.RELATED linear millimeters characteristicthe or lasts clinicalburrowspenetration aremultiple,andconfinedsigns PHYSICAL cutaneousand betweenapproximately creeping LESIONS. to andpresentationimpetiginization 1 aare lesion to tofewsymptoms site) a 5intensely2 trail FINDINGS. particulareruption. cmandcentimeters of include 10 longHrCLM3 8 ismmand weeks, (wheezing, hookworm pruritic, mayare The area thewide is uncommondaily. befolliculitisfeet an thoughof andand locatederythematous,the and Thefolliculitis.dry may maybody, rarely buttocks. cough, mostconsists (10in reachbe theusually it percentpainful.commonThe hasurticaria) same15 raised,ofThe patients beento20the Theoforal20or to anatomic buttocks. the andhavedifferent reportedcm100 hookwormmucosa usually cases). invesicular, follicularbeen length. sites Twoarea.to haspresent reported lastlarvae (usuallyto Lesions papulesbeenlinear,The up10 with eruptiontoadvanceserpiginous involved.in or 23 can someand pruritic years.to 4be cma DifferentialTheisnematodewithpatientsmicroscopyskinCharacteristicdiagnosisSpecialThereLaboratory associated diagnosisanbiopsy may inflammatory Tests.with oflarvae DiagnosisbeFindingsspecimens.with HrCLM. folliculitiswith creepingaof transient mineral hookwormtrapped creeping. eosinophilic. may eruption, oil; peripheralwithin eruption.revealnematodefolliculitis the asinfiltrate. live follicularwell eosinophilia.Otherwise, is andlarvae basedas Indead known canal, contrastmay on histologicnematode clinical alsoepidemiologic the to stratumbe creeping findings seenstudies larvae corneum,in exposure, alonedermatitis,whenarethe dermisnecessary, whenexamined or arethe skin onpruritic thedermis sections scrapingsand by basis folliculitis lightshow together forof in the Theoflength,additionappropriateCREEPINGClinically,subcutaneouspanniculitisCLMdead-end(cutaneousanddiseasesmyiasis,stercoralisCUTANEOUSThere(CLM, the variousdifferent should durationisa and tosyndrome),,a in thehost. confusion(larvaclassical andgnathostomiasis),serpiginouswhich treatment.zoonoticERUPTION.only helminthichallmark migrationLARVA of Theselimb currens);referthe creeping epidemiologic both swelling.betweenspeciesdisease, nematodestoMIGRANSof ordiseasesloiasis, of theCLMof linearor nematode's eruptionwhich (3) of animalthe theis and Strongyloides. larvalnature), a causing termsSYNDROME characteristicsinclude haveandcreeping scabies);is filarial by due formslaboratorylarvae beencreeping animalthe creepinganimal to nematodes eruption locationof (1)used(2)have By.trematodes nematodes nonlarval oflarvaleruptionhookwormsfindings definition, toeruptionbeenthe butofname formscutaneous(Spirurinathe otherdescribed, . (a forms Correct suchtrail acanin CLMsign) of(HrCLM), disease, whichcutaneous andhuman beasof syndromeX),andtrail(s) diagnosisparasitesdistinguished othersuchthe Pelodera cutaneous animalGnathostomanematodes infected (number, assignsclinical does migratorygigantica. (migratoryis HrCLM. strongyloides,relatedrequired human on signs,larvanot widthsuch the sp.include to migrans in basis forisasand the a S. InfectioncontaminatedPrevention.First-linealbendazole.option.effective,becauseTreatment The withittreatmentbut .has topical Cureit animalsoil. isalready not ratesapplicationfor hookwormsavailable HrCLMmigrated approach isofin beyonda10allis single100 preventedcountries.percent percent. thedose albendazolevisible byThereof Topical ivermectinavoiding lesion should therapy cream bydirect orbe the a no with twiceskinthree-daytime attempt thiabendazole contact ita isday identified. tocourse during withextract fecallyof 10is the alsodays worm, an is

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