title: Follicular cutaneous larva migrans: a report of three cases and review of the literature.
abstract: BACKGROUND
  Hookworm-related cutaneous larva migrans (CLM) is characterized clinically by erythematous and slightly raised tracks, located especially on the feet. These tracks may be single or multiple, linear or serpiginous, more or less ramified and intertwined. The length is variable (up to many cm); the width ranges from 1 mm to 4 mm. Tracks are often accompanied by severe pruritus.
  
  
  METHODS
  Three adult Caucasian patients recently returned from trips to Malaysia and Thailand, presented with follicular CLM. The disease was characterized clinically by follicular, erythematous, small papules that were sometimes topped with vesicles or pustules, located on the buttocks. Pruritus was severe.
  
  
  RESULTS
  Histopathological examinations revealed a perifollicular infiltrate predominantly consisting of lymphocytes and eosinophils. All patients were successfully treated with oral albendazole (400 mg/day for seven days). In the first patient, two courses were necessary.
  
  
  CONCLUSIONS
  Dermatologists should be aware of the existence of this rare and atypical, although emerging, clinical presentation of hookworm-related CLM.
authors: Department of Anesthesiology, Intensive Care and Dermatological Sciences, Università degli Studi di Milano, Fondazione IRCCS Ca' Granda-Ospedale Maggiore Policlinico, Milan, Italy. stefano.veraldi@unimi.it
authors: Stefano
authors: S
authors: Veraldi
authors: Maria Chiara
authors: MC
authors: Persico
authors: Claudia
authors: C
authors: Francia
authors: Gianluca
authors: G
authors: Nazzaro
authors: Raffaele
authors: R
authors: Gianotti
mesh_terms: D000328:Adult; D015766:Albendazole / Q000627:therapeutic use; D000723:Ancylostomatoidea / Q000302:isolation & purification; D000818:Animals; D000871:Anthelmintics / Q000627:therapeutic use; D005260:Female; D006801:Humans; D007815:Larva Migrans / Q000175:diagnosis* / Q000188:drug therapy; D008296:Malaysia; D008297:Male; D011537:Pruritus / Q000175:diagnosis / Q000188:drug therapy; D013785:Thailand; D014195:Travel
chemical_list: D000871:Anthelmintics; D015766:Albendazole