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Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2008;162(5):486.
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Denouement and Discussion: Bullous Cutaneous Larva Migrans
Cutaneous larva migrans presents as an intensely itchy and slowly moving linear rash on the skin caused by the infestation and migration of animal hookworms within the skin and the cutaneous reaction that results.1-4 It frequently occurs following direct skin exposure to the hookworm, often during trips to the beach or from children's sandboxes where contact with the hookworm in sandy soil can occur.
The most common larva associated with cutaneous larva migrans is the dog hookworm Ancylostoma braziliense. Adult worms live and multiply in the animal's intestine. The eggs are then distributed in the soil or sand from the feces of the infected animal. Under warm and moist conditions, the ova hatch into infective larvae and can then penetrate intact skin when in direct contact.1
The eruption begins as a discrete erythematous papule where contact with sand is common—typically the feet, hands, knees, and buttocks.1-2 A migratory, serpiginous, . . . [Full Text of this Article]
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Picture of the Month—Quiz Case
Iván Sánchez Fernández, Marc Julià Manresa, Maria Antonia González Ensenat, and Maria Asunción Vicente Villa
Arch Pediatr Adolesc Med. 2008;162(5):485.
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