Creeping eruption: Difference between revisions

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(Redirected page to Cutaneous larva migrans)
 
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#REDIRECT [[{{Infobox_Disease |
#REDIRECT [[Cutaneous larva migrans]]
  Name          = {{PAGENAME}} |
  Image          = Cutaneous_larva_migrans.jpg|
  Caption        = |
  DiseasesDB    = 3263 |
  ICD10          = {{ICD10|B|76|9|b|65}} |
  ICD9          = {{ICD9|126.9}} |
  ICDO          = |
  OMIM          = |
  MedlinePlus    = |
  eMedicineSubj  = derm |
  eMedicineTopic = 91 |
  eMedicine_mult = {{eMedicine2|ped|1278}} |
  MeshID        = D007815 |
}}
{{CMG}}
 
{{Editor Help}}
 
'''Cutaneous larva migrans''' ("CLM") is a skin disease in humans, caused by the larvae of various nematode [[parasite]]s, the most common of which is [[Ancylostoma]] braziliense.
 
Sometimes referred to as "creeping eruption" or "ground itch", in some parts of the Southern USA this condition is also referred to as "sandworms," as the larvae like to live in sandy soil.
 
==Cause==
These parasites are found in dog and cat feces and although they are able to infect the deeper tissues of these animals (through to the lungs and then the intestinal tract), in humans they are only able to penetrate the outer layers of the [[skin]] and thus create the typical wormlike burrows visible underneath the skin. The parasites apparently lack the collagenase [[enzyme]]s required to penetrate through the [[basement membrane]] deeper into the skin.
 
==Presentation==
The infection causes a red, intense itching eruption. The itching can become very painful and if scratched may allow a secondary bacterial infection to develop.
 
==Treatment==
CLM can be treated a number of different ways:
 
* Systemic (oral) agents include [[albendazole]] (trade name ''Albenza'') and [[ivermectin]] (trade name ''Stromectol'').
 
* Another agent which can be applied either topically ''or'' taken by mouth is [[thiabendazole]] (trade name ''Mintezol''), an anti-helminthic. When taken orally, this medication is known to cause nausea.
 
* Topical freezing agents, such as [[ethyl chloride]] or [[liquid nitrogen]], applied locally can freeze and kill the larvae (but is often a hit-or-miss proposition).
 
==See also==
* [[Dermatology]]
* [[Intestinal parasite]]
* [[Visceral larval migrans]]
 
==External links==
* {{DermAtlas|-1921851750}}
{{Helminthiases}}
[[Category:Dermatology]]
[[Category:Infectious skin diseases]]
[[Category:Parasitic diseases]]
[[Category:Zoonoses]]
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[[af:Larva migrans]]
[[fr:Larva migrans]]
[[pt:Larva migrans]]
 
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Latest revision as of 17:51, 12 May 2009