■皮肤幼虫偏头痛(CLM)是由钩虫寄生幼虫的入侵和迁移引起的皮炎,主要影响热带和亚热带地区。本报告介绍了一名尼泊尔儿童的CLM病例,并概述了有关这种情况的文献。
■一个来自尼泊尔农村地区的4岁男孩左脚出现瘙痒性皮肤损伤,最初误诊为真菌感染。病变逐渐扩大,形成浆液性红斑,变得强烈瘙痒。病人的家庭社会经济状况很差,这个孩子经常赤脚走在一个有许多家犬和流浪狗的地方。临床确诊,口服阿苯达唑和抗组胺药治疗可完全缓解症状。
■CLM是一种被忽视的人畜共患疾病,由于漏报和误诊,发展中国家的负担被低估了。Ancylostomaspp的幼虫。是常见的罪魁祸首,当它们通过皮肤迁移时引起局部炎症反应。诊断主要是临床和常规检查通常没有异常。并发症可能包括继发细菌感染,过敏,和罕见的内脏器官迁移。治疗选择包括阿苯达唑或伊维菌素,强调卫生的预防措施,鞋类使用,和宠物驱虫。
■CLM是一种被忽视的疾病,主要影响热带地区的边缘化社区。提高医疗保健提供者的认识,进行观察性研究,并制定治疗指南,尤其是对儿童来说,是解决这一公共卫生问题的重要步骤。预防性努力,例如促进卫生和鞋类使用,应鼓励降低CLM发生率。
UNASSIGNED: Cutaneous larva migrans (CLM) is a dermatitis caused by the invasion and migration of parasitic larvae of hookworms, primarily affecting tropical and subtropical regions. This report presents a case of CLM in a Nepali child and provides an overview of the literature on this condition.
UNASSIGNED: A 4-year-old boy from a rural area in Nepal presented with a pruritic skin lesion on his left foot, initially misdiagnosed as fungal infection. The lesion gradually expanded, forming a serpiginous erythema, and became intensely pruritic. The patient\'s family had poor socioeconomic conditions, and the child frequently walked barefoot in an area with many domestic and stray dogs. Diagnosis was confirmed clinically, and treatment with oral albendazole and antihistamines resulted in complete resolution of symptoms.
UNASSIGNED: CLM is a neglected zoonotic disease, with an underestimated burden in developing countries due to underreporting and misdiagnosis. The larvae of Ancylostoma spp. are common culprits, causing a localized inflammatory reaction as they migrate through the skin. Diagnosis is mainly clinical and routine investigations usually reveal no abnormality. Complications may include secondary bacterial infections, allergies, and rare migration to internal organs. Treatment options include albendazole or ivermectin, with preventive measures emphasizing hygiene, footwear use, and pet deworming.
UNASSIGNED: CLM is a neglected disease that primarily affects marginalized communities in tropical regions. Raising awareness among healthcare providers, conducting observational studies, and developing treatment guidelines, especially for children, are essential steps to address this public health concern. Preventive efforts, such as promoting hygiene and footwear use, should be encouraged to reduce CLM incidence.