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Cutaneous Larva Migrans Presenting as Eczematous Dermatitis.
Mahesh Mathur1, Sumit Paudel1, Shilpa Maharjan1
1Department of Dermatology College of Medical Sciences Bharatpur Nepal.
Clinical Case Reports
|June 22, 2026
Summary
Cutaneous larva migrans (CLM), a hookworm larvae skin infection, can initially resemble eczema. Early diagnosis and albendazole treatment are key for resolving this itchy, serpiginous rash, especially in those with soil exposure.
Area of Science:
- Dermatology
- Infectious Diseases
- Parasitology
Background:
- Cutaneous larva migrans (CLM) is a skin infestation caused by animal hookworm larvae.
- Early CLM lesions can present as eczematous rashes, complicating diagnosis.
- Characteristic serpiginous tracks often develop as the infection progresses.
Purpose of the Study:
- To report a case of CLM initially misdiagnosed as eczema.
- To emphasize the importance of considering CLM in persistent itchy rashes.
- To highlight effective treatment options for CLM.
Main Methods:
- Case report of a 66-year-old farmer.
- Clinical presentation of an eczematous lesion on the foot.
- Diagnosis confirmed by the development of a serpiginous track.
- Treatment with albendazole.
Main Results:
- The patient's initial eczematous lesion was diagnosed as CLM.
- The characteristic serpiginous track aided in diagnosis.
- Complete resolution of CLM lesions was achieved with albendazole.
Conclusions:
- CLM should be considered in the differential diagnosis of persistent, itchy skin rashes.
- Occupational exposure to contaminated soil increases CLM risk.
- Albendazole is an effective treatment for cutaneous larva migrans.
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