皮肤幼虫移行症（CLM）可能不易诊断：一例病例报告及文献综述
Cutaneous Larva Migrans (CLM) may not be easy to diagnose: a case report and narrative review.
作者信息
Osman Solafa, Tarnari Nectaria, Ahsan Areeba, Ahmed Khabab Abbasher Hussien Mohamed
机构信息
Assistant Professor of Dermatology, Internal Security Force, Doha, Qatar.
School of Health Sciences, Foundation University, Islamabad, Pakistan.
出版信息
Oxf Med Case Reports. 2024 Apr 25;2024(4):omae025. doi: 10.1093/omcr/omae025. eCollection 2024 Apr.
BACKGROUND
Cutaneous Larva Migrans (CLM) is one of the most common zoonotic dermatoses in subtropical and tropical regions and some European countries. It is caused by different types of hookworm, such as Ancylostoma braziliense, Ancylostoma caninum and Uncinaria stenocephala. It is usually easy to diagnose, but the atypical presentation may occasionally mimic other dermatoses.
CASE REPORT
A 32-year-old man presented with an extensive eczematous rash that developed during a recent vacation in Thailand. He didn't respond to antihistamines and systemic steroids. Finally, he was diagnosed with an atypical presentation of CLM and treated successfully with anthelminthic therapy.
CONCLUSION
The report of an atypical presentation of CLM is crucial to increase awareness among healthcare workers, helping in early diagnosis and reducing potential psychological distress that patients may face.
背景
皮肤幼虫移行症（CLM）是亚热带、热带地区以及一些欧洲国家最常见的人畜共患皮肤病之一。它由不同种类的钩虫引起，如巴西钩口线虫、犬钩口线虫和窄头钩虫。通常易于诊断，但非典型表现偶尔可能会与其他皮肤病相混淆。
病例报告
一名32岁男性在近期泰国度假期间出现广泛的湿疹样皮疹。他对抗组胺药和全身性类固醇治疗无反应。最终，他被诊断为CLM的非典型表现，并通过驱虫治疗成功治愈。
结论
CLM非典型表现的报告对于提高医护人员的认识至关重要，有助于早期诊断并减少患者可能面临的潜在心理困扰。
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