Kokollari Fatime, Gërçari Antigona, Blyta Ymrane, Daka Qëndresë, Krasniqi-Daka Afërdita
Department of Dermatovenerology, University Clinical Centre of Kosovo, Prishtina, Kosovo.
Medical School, University of Prishtina, Prishtina, Kosovo.
Med Arch. 2015 Aug;69(4):271-273. doi: 10.5455/medarh.2015.69.271-273. Epub 2015 Aug 4.
Cutaneous larva migrans (CLM) is a dermatitis caused by hookworm larvae inoculation in the skin, most commonly acquired among individuals in tropical and sub-tropical areas or travelers who have visited those areas. The typical clinical presentation consists of itchy serpiginous lesion that advances.
We are reporting a long time misdiagnosed case of a 37-year-old farmer from continental European region with a typical clinical presentation, and no history of traveling to endemic areas. We made the diagnosis of the CLM based on the patient's history of itchy skin that had advanced for a few months, and clinical characteristics of the lesion in the right gluteus region consisting of erythema, papula and vesicles, together with erythematous/livid serpiginous tracks that formed an irregular and capricious path. The patient was successfully treated with oral mebendazole twice daily for three days and local therapy.
皮肤幼虫移行症（CLM）是一种由钩虫幼虫接种于皮肤引起的皮炎，最常见于热带和亚热带地区的人群或去过这些地区的旅行者。典型的临床表现为瘙痒性、呈匐行性进展的皮损。
我们报告一例来自欧洲大陆地区的37岁农民的长期误诊病例，其具有典型的临床表现，且无前往流行地区的旅行史。根据患者数月来瘙痒性皮肤进展的病史、右臀区域皮损的临床特征（包括红斑、丘疹和水疱）以及形成不规则且蜿蜒路径的红斑/青紫色匐行轨迹，我们诊断为皮肤幼虫移行症。该患者通过每日口服两次甲苯咪唑，持续三天，并结合局部治疗，获得了成功治愈。
