Funding sources None.
Aetiologies of creeping eruption: 78 cases
Article first published online: 19 MAY 2014
© 2014 British Association of Dermatologists
British Journal of Dermatology
Volume 170, Issue 5, pages 1166–1169, May 2014
How to Cite
Vanhaecke, C., Perignon, A., Monsel, G., Regnier, S., Paris, L. and Caumes, E. (2014), Aetiologies of creeping eruption: 78 cases. British Journal of Dermatology, 170: 1166–1169. doi: 10.1111/bjd.12637
Conflicts of interest None declared.
- Issue published online: 19 MAY 2014
- Article first published online: 19 MAY 2014
- Accepted manuscript online: 30 SEP 2013 10:59AM EST
- Manuscript Accepted: 5 SEP 2013
Creeping eruption is a migratory linear cutaneous trail. In addition to hookworm-related cutaneous larva migrans (HrCLM), other diseases can also be revealed by this sign.
To report the different aetiologies of creeping eruption.
All consecutive patients with creeping eruption presenting to our unit in Pitié Salpêtrière Hospital in Paris between 1 March 2008 and 31 January 2013 were included. The diagnoses were based on microscopic data when available (hookworm folliculitis, strongyloidiasis) or the association of epidemiological, clinical, biological features and good outcome after specific treatment (HrCLM, loiasis, gnathostomiasis).
Seventy-four patients (95%) presented with HrCLM. All but one had been travelling in a tropical country; seven (9%) also presented with folliculitis. Skin scraping of hookworm folliculitis lesions was performed in five cases and revealed living nematode larvae in three cases. Two patients (3%) with cutaneous gnathostomiasis after returning from Bali and Japan presented with intermittent creeping dermatitis on the foot and thigh, respectively. One patient (1%), native to Cameroon, was diagnosed with loiasis and one patient (1%), with no travel history, presented with ‘creeping hair’.
Hookworm-related cutaneous larva migrans explains 95% of the cases of creeping eruption; gnathostomiasis, loiasis and cutaneous pili migrans may also be diagnosed.