Kim Tae-Heung, Lee Byeung-Song, Sohn Woon-Mok
Whiteline Skin Clinic, Jinju 660-140, Korea.
Korean J Parasitol. 2006 Jun;44(2):145-9. doi: 10.3347/kjp.2006.44.2.145.
Three cases of cutaneous larva migrans (CLM) were diagnosed in a returnee from a trip to Thailand and in 2 domestic farmers during July and September, 2003. The linear and serpiginous skin lesions on the lower extremities were presented in all 3 cases. Routine laboratory findings were normal. In the imported case, a 650 x 30 micrometer sized filariform nematode larva, presumably a species of hookworm, was detected in the lesion. All cases were treated with 400 mg albendazole once daily for 3-5 days, and their skin lesions gradually improved. In the present study, a causative agent of CLM was isolated for the first time in the Republic of Korea. Moreover, we speculate that CLM is prevalent in farmers who are in frequent contact with soil in the Republic of Korea.
2003年7月至9月期间，一名从泰国旅行归来的归国人员以及两名本国农民被诊断出患有皮肤幼虫移行症（CLM）。所有3例患者均出现下肢线状及匐行性皮肤损害。常规实验室检查结果均正常。在输入性病例中，在皮损处检测到一条650×30微米大小的丝状线虫幼虫，推测为钩虫的一种。所有病例均接受了每日一次400毫克阿苯达唑治疗，持续3 - 5天，其皮肤损害逐渐改善。在本研究中，韩国首次分离出CLM的病原体。此外，我们推测CLM在韩国经常接触土壤的农民中很普遍。
