Cutaneous larva migrans

Abstract

A 13-year-old female presented to our clinic with a pruritic, progressive, 5 centimeters long cutaneous linear erythema on the left foot. The patient informed us that the lesion appeared progressively 2 weeks before. She spent hours in contact with seawater and sand without protection due to beach holidays. At first, the patient detected irritated redness on the dorsum of her left foot. She noticed that the lesion progressed forming a tortuous red cutaneous line. No personal pathological history was reported. Physical examination revealed an erythematous linear serpiginous skin lesion on the dorsum of the left foot (Figure 1). The clinical diagnosis was cutaneous larva migrans caused by Ancylostoma braziliense. The patient was treated with cycles of 30 second with liquid nitrogen applied directly on the lesion, remitting completely.