68. Cutaneous Larva Migrans

  1. Alan D. Irvine MD, FRCPI, FRCP3,4,
  2. Peter H. Hoeger MD5,6 and
  3. Albert C. Yan MD, FAAP, FAAD7,8
  1. Antonia K. Kienast MD1,2

Published Online: 24 MAY 2011

DOI: 10.1002/9781444345384.ch68

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition

How to Cite

Kienast, A. K. (2011) Cutaneous Larva Migrans, in Harper's Textbook of Pediatric Dermatology, Volume 1, 2, Third Edition (eds A. D. Irvine, P. H. Hoeger and A. C. Yan), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444345384.ch68

Editor Information

  1. 3

    Trinity College, Dublin, Ireland

  2. 4

    Our Lady's Children's Hospital, Dublin, Ireland

  3. 5

    University of Hamburg, Hamburg, Germany

  4. 6

    Catholic Children's Hospital Wilhelmstift, Hamburg, Germany

  5. 7

    University of Pennsylvania School of Medicine, Philadelphia, PA, USA

  6. 8

    The Children's Hospital of Philadelphia, Philadelphia, PA, USA

Author Information

  1. 1

    Department of Dermatology, BUK Hamburg-Boberg, Germany

  2. 2

    Department of Pediatrics, University of Muenster, Hamburg, Germany

Publication History

  1. Published Online: 24 MAY 2011
  2. Published Print: 3 JUN 2011

ISBN Information

Print ISBN: 9781405176958

Online ISBN: 9781444345384



  • Cutaneous larva migrans;
  • creeping eruption;
  • hookworm infection;
  • Ancylostoma spp.;
  • Uncinaria stenocephala


Cutaneous larva migrans (CLM) is caused by the migration of animal hookworm larvae in the skin. It mainly occurs in tropical, resource-poor communities, but is also sporadically seen in high-income countries and in travellers who return from the tropics. It is characterized by serpiginous, slightly elevated, erythematous, forward-moving, highly pruritic ‘tracks’ in the skin. Bacterial superinfection may occur as a complication. Treatment is based on the topical application of tiabendazole or albendazole, and oral drugs (albendazole or ivermectin) in severe cases. For prevention, regular anthelmintic treatment of cats and dogs is required. If this is not manageable, animals should be prohibited from playgrounds and beaches. To protect children individually from the infection, unprotected skin should not come into contact with potentially infected soil.