Thursday, June 23, 2011

Cutaneous larva migrans

Cutaneous larva migrans is due Ankylostoma larvae. They onceformed galleries reached the skin, remaining confined in Malpighilayer.

The clinical picture is dominated by skin manifestations, whichrepresents a linear belt width of 1-2 mm, very itchy, growing daily, 1-3 cm. These lines present at the end of a vesicle that can isolate the larva. Preferential covered skin of the hands, legs, trunk and buttocks. Lesion is very itchy, especially at night.

Positive diagnosis is on the clinical examination. Laboratory,coproparazitologic examination is negative. Larvae may be isolated from vesicles frequently present in the skin.

The differential diagnosis is scabies.


Healing can often occur spontaneously. Drug therapy is oralthiabendazole (Mintezol) in 25mg/kgc/zi dose for 3 days.

Visceral larva migrans (LMV) with cutaneous larva migrans are known in literature as the syndrome specilaitate larva migrans.

No comments:

Post a Comment