Bullous Cutaneous Larva Migrans And Generalized Cutaneous Larva Migrans: A Rare Clinical Manifestation

Syawalika Ulya Isneny,Icha Rachmawati Kusmayadi,Hendra Gunawan

doi:10.2174/1874372202014010001

Abstract

Background: The skin lesions of Cutaneous Larva Migrans (CLM) commonly manifests as single, linear, irregular, serpiginous raised erythematous track, but the other clinical variants exist. This case series aimed to report one case of a vesiculobullous lesion in CLM and one case of CLM with generalized distribution serpiginous erythematous skin lesion. Objectives: We report one case of a vesiculobullous lesion in CLM and one case of CLM with generalized distribution serpiginous erythematous skin lesion. Conclusion: There were CLM with vesiculobullous lesions and also with generalized distribution of skin lesion. The pathogenesis of this condition is still unknown. In both cases, albendazole 400 mg per day for 3 and 5 days gave an effective result.

Highlights

Cutaneous Larva Migrans or sandworm eruption [1] is a creeping eruption caused by nematode larval migration in the epidermis [2]
As the larvae migrate, developing tracks appear as a reddish raised linear line with a serpiginous pattern
Vesiculobullous lesions can be found in 15% cases of Cutaneous Larva Migrans (CLM) [3]

Summary

Introduction

Cutaneous Larva Migrans or sandworm eruption [1] is a creeping eruption caused by nematode larval migration in the epidermis [2]. There are 2 cases that reported a CLM case with severe clinical manifestations of multiple serpiginous skin eruptions [2, 3] This CLM case series aimed to report a case with vesiculobullous lesions and a case with a generalized distribution of serpiginous erythematous skin lesions. The skin lesions of Cutaneous Larva Migrans (CLM) commonly manifests as single, linear, irregular, serpiginous raised erythematous track, but the other clinical variants exist. This case series aimed to report one case of a vesiculobullous lesion in CLM and one case of CLM with generalized distribution serpiginous erythematous skin lesion

Objectives

Discussion

Conclusion