Description

Hookworm larvae can cause a folliculitis in addition to cutaneous larva migrans.


 

A common risk factor is beach exposure in the tropics or subtropics.

 

Features of the rash:

(1) severe pruritis, which is often worse at night

(2) papules and/or papulopustules

 

Some patients may show eosiniophilic pustular folliculitis (EPF).

 

Some patient may have a unilateral rash that mimics the rash of Herpes zoster.

 

The affected patient usually responds quickly to a single oral dose of ivermectin.

 

Differential diagnosis:

(1) bacterial folliculitis

(2) scabies

 


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