Extensive larva migrans.

Area of Science:

• Dermatology
• Parasitology
• Medical Entomology

Background:

• Larva migrans is a skin infestation caused by nematode larvae.
• It is characterized by characteristic migratory, tortuous lesions.

Purpose of the Study:

• To report a case of extensive larva migrans.
• To highlight clinical presentation and diagnostic challenges.

Main Methods:

• Clinical case presentation.
• Physical examination of skin lesions.
• Laboratory tests including eosinophil count.
• Histopathological examination of skin biopsy.

Main Results:

• A 26-year-old fisherman presented with a two-month history of itchy eruptions on his back and arms.
• Clinical findings included multiple wavy serpentine and forked lesions.
• An elevated absolute eosinophil count of 3800 cells/cmm was noted.
• Skin biopsy results were inconclusive.

Conclusions:

• The case demonstrates extensive skin involvement by larva migrans.
• Highlights the importance of clinical diagnosis in cases with inconclusive biopsy.
• Underscores the need for awareness of larva migrans in endemic or relevant occupational exposures.