Complaint
Chris, a 32-year-old male, has a skin condition characterized by a serpiginous, red, and inflamed line on his arm. The image provided suggests cutaneous larva migrans, typically caused by hookworm larvae penetrating the skin.
Main Possible Diagnosis
Cutaneous Larva Migrans (90%) - This is a skin condition caused by hookworm larvae that penetrate the skin, leading to a red, inflamed, and serpiginous (snake-like) line.
Less Likely Diagnosis
Contact Dermatitis (10%) - This is a skin reaction resulting from contact with an irritant or allergen, causing redness and inflammation.
Diagnosis
Based on the image provided and the description of a serpiginous, red, and inflamed line on your arm, the most likely diagnosis is Cutaneous Larva Migrans (CLM). CLM is caused by hookworm larvae, usually from contaminated soil or sand, penetrating the skin. This condition is common in tropical and subtropical regions and is often associated with walking barefoot on contaminated ground. The larvae create winding tracks as they move under the skin, leading to the characteristic appearance.
The less likely diagnosis is Contact Dermatitis, which can also cause redness and inflammation but typically does not present with the serpiginous pattern seen in your case.
CLM is not usually serious and can be treated effectively with medications. It is important to avoid scratching the affected area to prevent secondary infections. Treatment typically involves antiparasitic medications such as albendazole or ivermectin, which can clear the infection within a few days to a week.
Next, you should consult with a dermatologist to confirm the diagnosis and receive appropriate treatment. They may prescribe the necessary medications and provide additional care instructions.
Medical Test Report
The image shows a serpiginous, red, and inflamed line on the arm, consistent with Cutaneous Larva Migrans. This suggests a hookworm larvae infection.
More Tests Recommended For You
Consult a dermatologist for a clinical examination to confirm the diagnosis.A stool test may be recommended to check for other parasitic infections, especially if you have traveled to areas where hookworm is common.Possible Medications
Albendazole (Albenza) - 400 mg once daily for 3-7 days. It is effective in killing the larvae and usually clears the infection within a week. Side effects may include nausea, abdominal pain, and headache. Price range: $10-$50.Ivermectin (Stromectol) - 200 mcg/kg as a single dose or divided over 1-2 days. It is also effective in treating CLM. Side effects may include dizziness, nausea, and diarrhea. Price range: $20-$70.Urgency Of Your Diagnosis
This situation is not an emergency but should be addressed promptly to prevent further discomfort and potential secondary infections.
Disclaimer
This document is not intended as medical advice or a replacement for professional medical consultation. It provides general guidance for initial diagnosis and suggests questions to discuss with a healthcare provider. Always seek personalized medical advice from a qualified physician or healthcare provider. For questions contact us at hi@doctola.com