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Cutaneous Larva Migrans - Is this malignant?

June 19, 2008

A 37 year old fisherman from India presented with these tortuous and serpentine tracts and forks were seen traveling in a bizarre pattern, extending from the dorsum of the feet up to the knees. Similar tracts were present in the left hand also.lesions present in both legs.

Click here to see image...Cutaneous larva migrans (LM) or creeping eruption (CE) is a distinct cutaneous eruption caused by the hookworms or nematodes such as Ankylostoma brasiliensis , A. caninum , A. ceylonicum , Uncinaria stenocephala and Bubostomum phlebotomum . It is rarely caused by Strongyloides stercoralis , Dirofilaria spp., Spirometra spp., Gnathostoma spp. and Loa Loa . These nematodes normally do not parasitize human skin. However, the infective larval forms of the dog or cat hookworm may accidentally penetrate the intact exposed skin and then wander through the epidermis.

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