creeping eruption

関

larva migranscutaneous

WordNet

1. (of volcanos) pouring out fumes or lava (or a deposit so formed) (同)eructation, extravasation
2. symptom consisting of a breaking out and becoming visible
3. the emergence of a tooth as it breaks through the gum

PrepTutorEJDIC

1. (病気・災害などの)『突発』,(戦争などの)勃(ぼっ)発;(怒り・笑いの)爆発《+『of』+『名』》 / (溶岩・熱湯などの)『噴出』;(火山の)『噴出』;(火山の)『噴火』《+『of』+『名』》;(火山・間欠泉などからの)噴出物
2. (つるのように)はう / のろのろ動く / ぞっとする

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2013/01/25 14:15:18」(JST)

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Cutaneous larva migrans
Classification and external resources
Typical "creeping eruption" associated with cutaneous larva migrans
ICD-10	B76.9
ICD-9	126.9
DiseasesDB	3263
MedlinePlus	001454
eMedicine	derm/91 ped/1278
MeSH	D007815

Cutaneous larva migrans (abbreviated CLM) is a skin disease in humans, caused by the larvae of various nematode parasites of the hookworm family (Ancylostomatidae). The most common species causing this disease in the Americas is Ancylostoma braziliense.

Colloquially called creeping eruption due to the way it looks, the disease is also somewhat ambiguously known as "ground itch" or (in some parts of the Southern USA) "sandworms", as the larvae like to live in sandy soil. Another vernacular name is plumber's itch. The medical term CLM literally means "wandering larvae in the skin".

Cause

These parasites are found in dog and cat feces and although they are able to infect the deeper tissues of these animals (through to the lungs and then the intestinal tract), in humans they are only able to penetrate the outer layers of the skin and thus create the typical wormlike burrows visible underneath the skin. The parasites apparently lack the collagenase enzymes required to penetrate through the basement membrane deeper into the skin.

Presentation

The infection causes a red, intense itching eruption. The itching can become very painful and if scratched may allow a secondary bacterial infection to develop. The itching will stop after the parasites are dead.

Treatment

CLM can be treated in a number of different ways:

• Systemic (oral) agents include albendazole (trade name Albenza) and ivermectin (trade name Stromectol).

• Another agent which can be applied either topically or taken by mouth is thiabendazole (trade name Mintezol), an anti-helminthic. When taken orally, this medication is known to cause nausea. A topical preparation can be made by mixing the ground pills in vaseline. This mixture can be spread lightly on the lesion and held in place with a plaster. This produces local tissue levels sufficient to kill the parasite without the systemic side effects when taken orally.

• Topical freezing agents, such as ethyl chloride or liquid nitrogen, applied locally can freeze and kill the larvae (but is often a hit-or-miss proposition).

• It is recommended to use Benadryl or some anti-itch cream (i.e. Cortizone or Calamine lotion). This will help relieve some of the itch.

See also

• Dermatology
• Intestinal parasite
• Visceral larva migrans
• List of migrating cutaneous conditions

Additional images

External links

• DermAtlas -1921851750

UpToDate Contents

全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.

• 1. 鉤虫関連皮膚幼虫移行症 hookworm related cutaneous larva migrans
• 2. 駆虫薬療法 anthelminthic therapies
• 3. 帰国者の皮膚病変 skin lesions in the returning traveler
• 4. 鉤虫感染 hookworm infection
• 5. 犬からの人畜共通感染症 zoonoses from dogs

English Journal

• Toxocariasis-associated cardiac diseases-A systematic review of the literature.

• Kuenzli E1, Neumayr A2, Chaney M3, Blum J4.
• Acta tropica.Acta Trop.2016 Feb;154:107-20. doi: 10.1016/j.actatropica.2015.11.003. Epub 2015 Nov 11.
• Toxocariasis, caused by Toxocara canis or Toxocara catis, is a worldwide occurring parasitic disease, reaching high prevalences especially in tropical and subtropical countries. The clinical presentation can range from asymptomatic seropositivity to life threatenting disease, depending on the organ
• PMID 26571071

• Toxocara canis myelitis involving the lumbosacral region: a case report.

• Hiramatsu Y, Yoshimura M, Saigo R, Arata H, Okamoto Y, Matsuura E, Maruyama H, Takashima H.
• The journal of spinal cord medicine.J Spinal Cord Med.2016 Feb 1. [Epub ahead of print]
• Context Toxocara canis is a parasite known to cause visceral larva migrans. The infection rarely affects the central nervous system but there have been several reports of myelitis caused by visceral larva migrans due to Toxocara canis. In previous reported cases, the lesions were located in the thor
• PMID 26832660

• Eosinophilic pneumonias in children: A review of the epidemiology, diagnosis, and treatment.

• Giovannini-Chami L1,2, Blanc S1, Hadchouel A3,4, Baruchel A5,6, Boukari R7, Dubus JC8, Fayon M9,10, Le Bourgeois M3, Nathan N11,12, Albertini M1,2, Clément A11,12, de Blic J3,4.
• Pediatric pulmonology.Pediatr Pulmonol.2016 Feb;51(2):203-16. doi: 10.1002/ppul.23368. Epub 2015 Dec 30.
• Pediatric eosinophilic pneumonias (EPs) are characterized by a significant infiltration of the alveolar spaces and lung interstitium by eosinophils, with conservation of the lung structure. In developed countries, EPs constitute exceptional entities in pediatric care. Clinical symptoms may be transi
• PMID 26716396

Japanese Journal

• Creeping Eruptionを呈したマンソン孤虫症の1例 (特集 環境生物による皮膚症)

• 新保 和花子,村野 啓明,赤尾 信明
• 皮膚科の臨床 54(3), 389-391, 2012-03
• NAID 40019225531

• 症例 皮膚爬行疹を呈したマンソン孤虫症の1例 : 沖縄県での第3例目

• 仲宗根 尚子,上原 絵里子,是永 正敬 [他]
• 西日本皮膚科 74(1), 31-36, 2012-02
• NAID 40019205569

• 皮膚爬行疹を呈したマンソン孤虫症の1例:―沖縄県での第3例目―

• 仲宗根 尚子,上原 絵里子,是永 正敬,山口 さやか,高橋 健造,上里 博
• 西日本皮膚科 74(1), 31-36, 2012
• 症例は73歳の男性。初診の約40日前から腹部に自覚症状のない紅斑が出現した。前医でステロイド剤の外用を行ったが改善がえられず当科を受診した。当初，皮疹はベルトのバックルが当たる部位に一致していたため，接触皮膚炎と考えデルモベート<SUP>®</SUP>軟膏の外用を行った。しかし病変は軽快せず，次第にω状の線状爬行疹を呈し先端に皮下硬結が触れたため，寄生虫による皮膚感染症を疑 …
• NAID 130004475427

Related Links

• creeping eruption - definition of creeping eruption by Medical ...

creep·ing eruption (krē′pĭng) n. A skin disorder characterized by itchiness and a progressive netlike tunneling in the skin caused by the burrowing larvae of various parasites, especially a type of hookworm. Also called cutaneous larva ...

• Creeping eruption | Define Creeping eruption at Dictionary.com

creeping eruption creep·ing eruption (krē'pĭng) n. A skin disorder characterized by itchiness and a progressive netlike tunneling in the skin caused by the burrowing larvae of various parasites, especially a type of hookworm. Also called cutaneous larva migrans

Related Pictures

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★リンクテーブル★

リンク元	「爬行性線状皮疹」「cutaneous larva migrans」「皮膚爬行症」
関連記事	「eruption」「creeping」

「爬行性線状皮疹」

　　[★]

英

creeping eruption

関

幼虫移行症、皮膚幼虫移行症、皮膚爬行症、眼幼虫移行症

「cutaneous larva migrans」

　　[★] 皮膚幼虫移行症

関

creeping eruption、larva migrans、ocular larva migrans

「皮膚爬行症」

　　[★]

英

creeping eruption

関

爬行性線状皮疹

「eruption」

　　[★]

• n.

• (火山の)噴火。(溶岩・間欠泉の)噴出。(医)発疹、皮疹。(歯牙)崩出
• (怒り・笑いなどの)爆発。(病気・戦争などの)突発

関

eruptional

　 　 　 　

「creeping」

　　[★]

• n.

• 匍匐

• adj.

• 潜行性の、線状の

関

insidious、insidiously