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A Journal on Dermatology
Esperienze Dermatologiche 2012 September;14(3):113-4
A case of larva migrans initially misinterpreted
Sama E., Ghetti E., Schianchi S., Calista D., Arcangeli F.
Unità Operativa di Dermatologia, Ospedale “M. Bufalini”, Cesena, Italia
Cutaneous larva migrans is the most common tropical dermatosis. It appears as an intensely itchy, wormlike rash induced by accidental penetration of the larvae of a nematode parasite into the epidermis. Said parasite lives in the intestine of dogs, cats and other wild mammals or pets. The eggs and larvae, eliminated through the faeces, infect the skin of humans who come into direct contact with contaminated soil. We report the case of a 5-year-old child from Senegal, whom we saw following the appearance of a pruritic dermatitis on her trunk and lower limbs. The lesions were initially treated as a atopic dermatitis and treated with topical steroids with no benefit. Only when the typical serpiginous figuration dermatitis appeared on the child’s right buttock were we able to make a correct diagnosis.