关键词: Loeffler’s syndrome Migrance creeping cutaneous larva hookworm

来  源:   DOI:10.1093/omcr/omae025   PDF(Pubmed)

Abstract:
BACKGROUND: Cutaneous Larva Migrans (CLM) is one of the most common zoonotic dermatoses in subtropical and tropical regions and some European countries. It is caused by different types of hookworm, such as Ancylostoma braziliense, Ancylostoma caninum, and Uncinaria stenocephala. It is usually easy to diagnose, but the atypical presentation may occasionally mimic other dermatoses.
METHODS: A 32-year-old man presented with an extensive eczematous rash that developed during a recent vacation in Thailand. He didn\'t respond to antihistamines and systemic steroids. Finally, he was diagnosed with an atypical presentation of CLM and treated successfully with anthelminthic therapy.
CONCLUSIONS: The report of an atypical presentation of CLM is crucial to increase awareness among healthcare workers, helping in early diagnosis and reducing potential psychological distress that patients may face.
摘要:
背景:皮肤幼虫迁徙(CLM)是亚热带和热带地区以及一些欧洲国家最常见的人畜共患皮肤病之一。它是由不同类型的钩虫引起的,如巴西Ancylostoma,犬囊造孔,和海头鱼。通常很容易诊断,但不典型的表现可能偶尔模仿其他皮肤病。
方法:一名32岁的男子在最近的泰国度假期间出现了广泛的湿疹皮疹。他对抗组胺药和全身性类固醇没有反应。最后,他被诊断为CLM的非典型表现,并成功接受驱虫治疗。
结论:关于CLM非典型表现的报告对于提高医护人员的认识至关重要,有助于早期诊断并减少患者可能面临的潜在心理困扰。
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