Low urgency
--
It is a serpiginous (snake-like) skin rash caused by the subcutaneous migration of parasite larvae.
The larvae are introduced into the skin on contact with sand or soil contaminated by cat and dog feces in tropical and subtropical countries.
An itchy red spot appears at the site of entry and within 2-3 days filiform, sinuous, winding, tortuous and reddish tracts are seen in the subcutaneous tissue, advancing a few millimeters per day. They cause intense itching and peeling of the skin.
Diagnosis is made by clinical history and physical examination.
It usually disappears without treatment after 2-8 weeks, although specific drugs may be prescribed.
- Peter F Weller, Karin Leder. Hookworm-related cutaneous larva migrans. UpToDate. Jul 19, 2016.
- Peter F Weller, Karin Leder. Hookworm infection. UpToDate. Jul 01, 2016.
- Peter F Weller. Anthelminthic therapies. UpToDate. Apr 30, 2015.
- Monsel G, Caumes E. Recent developments in dermatological syndromes in returning travelers. Curr Opin Infect Dis 2008; 21:495.
- Kincaid L, Klowak M, Klowak S, Boggild AK. Management of imported cutaneous larva migrans: A case series and mini-review. Travel Med Infect Dis 2015; 13:382.
Dr. Oscar Garcia-Esquirol
Copyright© TeckelMedical 2026
