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首页> 外文期刊>Journal of Parasitology >Autochthonous Hookworm-Related Cutaneous Larva Migrans Disease in Northeastern Italy: A Case Report
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Autochthonous Hookworm-Related Cutaneous Larva Migrans Disease in Northeastern Italy: A Case Report

机译：意大利东北部与本地钩虫相关的皮肤幼虫偏头痛病的病例报告

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摘要

Here we report the case of a 42-yr-old patient who presented himself to us with a serpiginous erythematous lesion from the wrist of the right forearm up the arm to the right shoulder A similar lesion of a smaller size was also present in the left forearm. On the basis of clinical manifestations and progression of the lesion, combined with previous treatments and different diagnostic investigations, hookworm-related cutaneous larva migrans (HrCLM) disease was hypothesized. Albendazole was employed as treatment and the resolution of the symptoms confirmed the diagnosis. The relevance of the reported case relies on 3 main aspects: the acquisition of the disease in Italy, the initial treatment with topical corticosteroids that sped up the progression of the cutaneous trail, and the uncommon location of the lesions. Furthermore, the anamnestic data and the laboratory/clinical investigations strongly suggested an occupational exposure to the etiological agent. As illustrated here, HrCLM might represent a challenge for Western physicians in terms of diagnosis, treatment, and ways of acquisition. Describing the clinical presentation and the treatment of cases of cutaneous larva migrans might contribute to early and correct diagnosis, to an increase of our knowledge on this disease, and to an update on its epidemiology.
机译：在这里，我们报告了一名42岁患者的情况，该患者从右前臂的腕部到右肩部出现了一个锯齿状的红斑性病变，左侧也存在一个较小的类似病变前臂。根据病变的临床表现和进展，结合以前的治疗方法和不同的诊断研究，假设钩虫相关的皮肤幼虫偏头痛（HrCLM）疾病。阿苯达唑用于治疗，症状的缓解证实了诊断。所报告病例的相关性取决于三个主要方面：在意大利的疾病获得，局部皮质类固醇的初始治疗加快了皮肤试验的进展以及病变的罕见位置。此外，记忆数据和实验室/临床研究强烈建议在职业上接触病原体。如此处所示，HrCLM可能在诊断，治疗和获取方式方面对西方医生构成挑战。描述皮肤presentation虫的临床表现和治疗可能有助于早期和正确的诊断，增加我们对该病的认识，并更新其流行病学。

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