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THROUGH THE LENS
Year : 2018  |  Volume : 9  |  Issue : 5  |  Page : 359  

Cutaneous larva migrans in an infant


1 Department of Dermatology, Venereology and Leprology, Udaipur, Rajasthan, India
2 Department of Skin and VD, RNT Medical College, Udaipur, Rajasthan, India

Date of Web Publication4-Sep-2018

Correspondence Address:
Lalit K Gupta
Department of Dermatology, R.N.T. Medical College, Udaipur - 313 001, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/idoj.IDOJ_269_17

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How to cite this article:
Ansari F, Gupta LK, Khare AK, Balai M, Mittal A, Mehta S. Cutaneous larva migrans in an infant. Indian Dermatol Online J 2018;9:359

How to cite this URL:
Ansari F, Gupta LK, Khare AK, Balai M, Mittal A, Mehta S. Cutaneous larva migrans in an infant. Indian Dermatol Online J [serial online] 2018 [cited 2019 Nov 12];9:359. Available from: http://www.idoj.in/text.asp?2018/9/5/359/240519



An 11-month-old infant presented with a 12-day history of serpiginous lesion over the left buttock [Figure 1]a. Apart from mild anemia and eosinophilia, rest of the investigations including stools were normal. Two doses of oral ivermectin (200 μg/kg, 1.5 mg), one week apart, completely cleared the lesion [Figure 1]b and [Figure 1]c.
Figure 1: (a) Serpentine flesh-colored lesion over the left buttock (pre-treatment). (b) Partial clearance of the lesion after 1 week following treatment. (c) Complete resolution of the lesion after 2 weeks of treatment

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Cutaneous larva migrans (CLM), also known as “creeping eruption” or “epidermatitis linearis migrans,” is a common infestation in tropics and subtropics, most commonly caused by larva of Ancylostoma brasiliense.[1]

The larvae enter into the human skin through minor abrasions or even intact skin through hair follicles. Most common sites of involvement are the dorsum of feet and buttocks. The characteristic lesions are intensely itchy, raised and skin-colored to erythematous, and in linear, bizarre, or serpentine pattern.[1] Dermoscopy can be a helpful aid in the clinical diagnosis, but it may fail to detect the larvae in a majority of patients.[2] It was not done in our case.

CLM is rare in infancy,[3] and cases can also be seen in nonendemic regions.[4] Hence, familiarity with the condition is important for correct diagnosis and management.

Ivermectin has been used successfully to treat scabies in infants,[5] and it may be a useful option to treat CLM,[1] as seen in our case.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Karthikeyan K, Thappa D. Cutaneous larva migrans. Indian J Dermatol Venereol Leprol 2002;68:252-8.  Back to cited text no. 1
[PUBMED]  [Full text]  
2.
Aljasser MI, Lui H, Zeng H, Zhou Y. Dermoscopy and near-infrared fluorescence imaging of cutaneous larva migrans. Photodermatol Photoimmunol Photomed 2013;29:337-8  Back to cited text no. 2
    
3.
Paul Y, Singh J. Cutaneous Larva Migrans in an Infant. Indian Pediatr 1994;31:1089-91.  Back to cited text no. 3
    
4.
Sugathan P, Bhagyanathan M. Cutaneous larva migrans: Presentation at an unusual site. Indian J Dermatol 2016;61:574-5.  Back to cited text no. 4
[PUBMED]  [Full text]  
5.
Bécourt C, Marguet C, Balguerie X, Joly P. Treatment of scabies with oral ivermectin in 15 infants: A retrospective study on tolerance and efficacy. Br J Dermatol 2013;169:931-3.  Back to cited text no. 5
    


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