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Arch Dermatol. 1993 May;129(5):588-91.

Creeping eruption. A review of clinical presentation and management of 60 cases presenting to a tropical disease unit.

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  • 1Division of Infectious Diseases, Hospital for Sick Children, Toronto, Ontario, Canada.

Abstract

BACKGROUND AND DESIGN:

Cutaneous larva migrans is an infection with a larval nematode, most frequently by dog or cat hookworms. It has a characteristic presentation that is easily recognizable. We reviewed the charts of 60 patients with cutaneous larva migrans who presented to the Tropical Disease Unit, Toronto (Ontario) Hospital, during a 6-year period.

RESULTS:

Ninety-five percent of the patients were Canadians who had recently returned from the tropics or subtropics, notably the Caribbean. Almost all patients had a linear or serpiginous, very pruritic larval track. Topical thiabendazole was efficacious in 52 (98%) of 53 patients treated. Albendazole cured six (88%) of seven patients treated. Because of adverse effects, oral thiabendazole and liquid nitrogen were not utilized.

CONCLUSION:

We conclude that topical thiabendazole and oral albendazole are very effective and safe modalities for the treatment of cutaneous larva migrans.

PMID:
8481019
[PubMed - indexed for MEDLINE]
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