Title: Cutaneous Larva Migrans- What is it?<br/>Author: Jon Mark Hirshon<br/><a href='http://umem.org/profiles/faculty/96/'>[Click to email author]</a><hr/><p>
        <strong>Cutaneous larva migrans (CLM)</strong> is an acquired dermatosis</p>
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                Seen in patients returning from the tropics
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                                Often seen in patient with a history of sunbathing or in barefoot beachgoers</li>
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                Caused by the larvae of various nematode parasites of the hookworm family (<a href="https://en.wikipedia.org/wiki/Ancylostomatidae" title="Ancylostomatidae">Ancylostomatidae</a>), with <em>Ancylostoma braziliense </em>the most frequently found in humans.</li>
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        <strong>Clinical manifestations:</strong></p>
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                Linear, serpentine erythematous lesions</li>
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                Intense pruritus</li>
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                Will often heal spontaneously over weeks or months without treatment</li>
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        <strong>Treatment:</strong></p>
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                Thiabendazole (applied topically)
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                                Oral alternatives include other anti-parasitic medications such as albendazole, ivermectin</li>
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                                Oral thiabendazole as a single dose can be used, but is less effective than albendazole or ivermectin</li>
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                Consider antibiotics if there is secondary bacterial infections</li>
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                Freezing the leading edge has been previously used, but is considered ineffective and painful.</li>
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        <strong>Bottom Line:</strong></p>
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                Consider CLM the next time a patient complains of a linear, erythematous itchy rash after returning from their all-inclusive stay in a Caribbean resort</li>
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<fieldset><legend>References</legend>

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        <a href="http://emedicine.medscape.com/article/1108784-clinical">http://emedicine.medscape.com/article/1108784-clinical</a></p>
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        <a href="http://www.cdc.gov/parasites/zoonotichookworm/gen_info/faqs.html">http://www.cdc.gov/parasites/zoonotichookworm/gen_info/faqs.html</a></p>
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        https://cid.oxfordjournals.org/content/30/5/811.full</p>
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</fieldset><fieldset><legend>Attachments</legend>
                        clm.jpg (86 Kb)<br/><a href='http://umem.org/files/uploads/1603162221_clm.jpg' target='_blank'>http://umem.org/files/uploads/1603162221_clm.jpg</a><br/><br/></fieldset>