Creeping Eruption

What do you know about Creeping Eruption?

Actually, this is a paper which I wrote as one of condition for my job application, but I think I got nothing to lose by informing it to public, in hope it will be usefull.

The reason why I wrote about this disease is because this disease attacked me 2 weeks ago, I just wanna share with those who willing to read this blog, with a big hope that we could be more aware with our own’s & our dearest people’s health. Normally it only attack one spot but, i had 7 red spots who turned out to be like those path on the picture below. I had them right under my knee. Sorry, I can’t put my own picture since it’s so disgusting (too many of them) this pic below is better since it only had one spot, unlike mine.

LmigransHave you ever heard about this medical term, “Cutaneous Larva Migrants”? If you haven’t heard about it, maybe this article will give you some information about this parasitic disease, and might also add your knowledge more about medical world especially in dermatological disease.

According to Wikipedia.org, a cyber encyclopedia, Cutaneous Larva Migrants is a medical term for a skin disease in humans. Sometimes it referred to as “Creeping Eruption” or “Ground itch”, in some parts of the Southern USA this condition is also referred to as “sandworms”.

190pxcutaneous_larva_migransMore specific about this condition; Creeping Eruption is a skin rash that caused by the larvae of various nematode parasites, the most common of which is Ancylostoma braziliense.

1001The parasite, Ancylostoma braziliense, is a hookworm that transmitted and infected from warm, moist soil to exposed skin. This hookworm is barely unseen by naked eyes since it has a very microscopic size, it can 1002only be seen by microscope. It normally inhabits dogs and cats. These parasites are found in dog and cat feces and although they are able to infect the deeper tissues of these animals (through the lungs and the 1003intestinal 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.

The eggs of the parasites are deposited on the ground in dog and cat feces. When bare skin touches the ground, which happens when a person walks barefoot or sunbathes, the hookworms gets into the skin. In humans, the hatching period can happen in weeks or even months if it’s not given a proper treatment.

It is said at The Merck manual home edition’s website that starting from the site of infection, usually the feet, legs, buttocks, or back, the hookworm burrows along a haphazard tract, leaving a winding, threadlike and raised red rash. The infection causes a red, intense inflammatory response that leads to severe itching eruption. Usually, it become more itching at night since the larva gets more active at night and it digs about 2mm-3mm per day. The itching can become very painful and if scratched, it may allow a secondary bacterial infection to develop.

According to the official website of University of Maryland Medical Center, creeping eruption is more common in countries with warm climates. The Southeastern of United States has the highest rates of infection. It affects more children, age between 1-7 years, than adults.

LvabdBased on its location, this disease located more at feet (39%), buttocks (18%) and stomach (16%).

Some treatment can be given in a number of different ways to cure this Cutaneous Larva Migrants. Prior to the 1960s, topical modalities such as ethyl chloride spray, liquid nitrogen, phenol, carbon dioxide snow, piperazine citrate, electrocautery, and radiation therapy were used unsuccessfully because it only stopped but not killed the hookworms.

The hookworm will stopped at minus 10° Celsius, but it won’t die in such degree. It will only die at minus 15° Celsius.

Some medicine is also given as reference by some dermatologist, such as;

  • 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).

Thiabendazole

Dosages: 25-50 mg/kg weight/day is given twice a day. Use it for 2-5 days.

It is not allowed to use it over 3 grams per day.

Albendazole
Dosages:

– For adults and children age more than 2 years: 400 mg per day is given only once a day. Use it for 3 days or 200 mg twice a day for 5 days.

– For children age less than 2 years: 200 mg per day for 3 days, or 10-15 mg/kg weight is given 4 times per day for 3-5 days.

Mebendazole
Dosages: For adults and children age more than 2 years: 100-200 mg is given twice a day for four days. For children age less than 2 years it is not allowed.

Anti allergic is given to reduce local allergic for example while using hydrocortisone cream etc. Antibiotic is also given if there any secondary infection. According to practical dermatologist, for all of this time, Albendazole shows the best result (which the last doctor gave me, after i go to 3 different doctors, Thanks to dr. Yani).

So, this disease is pretty much disturbing especially for your children. Though it is some kind of disease that can be cured easily, I bet none of you want to have something creeping beneath you skin, right? Here are some tips given to prevent it; please try your best to avoid your children playing at the soil, although I know it is hard, because children love to play at the ground, create things with soil, etc. However, if your children are hard to avoid those places, the best thing to do is wash his or her hands and legs or even better if you bath them with antiseptic soap or liquid. But, if there any one of your family member who has already infected with this disease, the best way to treat it is by bringing the infected person to the dermatologist as soon as possible so they can diagnose it. Well, the earlier is the better but it is much better preventing than curing. I hope this article would be useful for our knowledge and give us the awareness for our children and their surroundings.

Source:

www.umm.edu/ency/article/001454.htm

www.merck.com/mmhe/sec18/ch210/ch210d.html

www.healthsystem.virginia.edu/uvahealth/adult_derm/creep.cfm

http://cakmoki86.wordpress.com/2007/02/02/cutaneous-larva-migran-lenggak-lenggok-cacing-mini/

2 thoughts on “Creeping Eruption

  1. good review🙂
    sorry, I wrote about Creeping Eruption in Indonesian for peoples who use Bahasa Indonesia in our country.
    Thanks for your trackback

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