Indian Dermatology Online Journal

: 2011  |  Volume : 2  |  Issue : 1  |  Page : 48-

Cutaneous larva migrans (creeping eruption)

Rameshwar Gutte, Uday Khopkar 
 Department of Dermatology, Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai, India

Correspondence Address:
Uday Khopkar
Department of Dermatology, Seth G.S. Medical College and King Edward Memorial Hospital, Parel, Mumbai - 400 012

How to cite this article:
Gutte R, Khopkar U. Cutaneous larva migrans (creeping eruption).Indian Dermatol Online J 2011;2:48-48

How to cite this URL:
Gutte R, Khopkar U. Cutaneous larva migrans (creeping eruption). Indian Dermatol Online J [serial online] 2011 [cited 2022 Jan 18 ];2:48-48
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Full Text

A 12-year-old male child presented with an itchy red raised linear lesion over the left foot [Figure 1], gradually extending proximally since 8 days. It was initially noticed 2 days after playing barefoot on the beach. Based on the clinical features and history, a diagnosis of cutaneous larva migrans was made.{Figure 1}

Cutaneous larva migrans (creeping eruption) is a common tropical dermatosischaracterized by an erythematous, pruritic and serpiginous eruption with non-specific dermatitis at the site of penetration. [1],[2]

It is caused by cutaneous penetration and subsequent migration of various nematode larvae like Ancylostoma braziliense. [1],[3]

Symptoms usually start in a few hours after penetration. Larvae start migrating at the rate of a few millimeters to a few centimeters per day within one to six days after penetration, forming a tortuous, itchy, skin colored to erythematous and serpiginous tract. [2],[3] It commonly affects the hand and feet. [1],[3] Diagnosis is essentially clinical and histopathology is of little utility as the larvae may have migrated beyond the clinical lesion. No specific serological test is available. [2],[3]

Ivermectin 200 μg/kg single oral dose is the treatment of choice presently. [2]


1Mehta VR, Shenoi SD. Extensive larva migrans. Indian J Dermatol Venereol Leprol 2004;70:373-4.
2Vega-Lpoez F, Hay RJ. Parasiric worms and protozoa. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rooks' Text book of dermatology. 7 th ed. UK: Blackwell Publishing; 2004. p. 32.1-48.
3Arora PN, Arora S. Diseases caused by parasitic worms and protozoa. In: Valia RG, Valia AR. editors. IADVL Textbook of dermatology. 3 rd ed. India: Bhalani publishing house; 2008. p. 432-89.