Creeping eruption, systemic therapy.

摘要: Dr. Kirby-Smith and his associates in 1926 (1) first drew attention to this disease prepared a classic monograph on the subject. Reports since then (2—4) show that cases of creeping eruption have been acquired every state coastal plains extending from New Jersey through Texas. Doubtful (5, 6) reported Oklahoma, Kentucky Manitoba but neither latter two instances was parasite demonstrated. Some my patients infection South Carolina gone trip before noticing any manifestation eruption. By time became manifest, at least one these seen treated York. Such (8) will probably be noted more frequently future must traced back original source rather than credit which appears. (7) saw twenty five hundred over period years Jacksonville, Florida. The writer has own practice not less an average fifty condition during past fourteen summers. incidence seems somewhat dependent upon amount moisture soil massiveness exposure as well patient's coming contact with damp ground where stray cats, dogs, other pets are allowed. form discussed review is due burrowing action third stage ifiariform larvae Ankylostoma braziliense, hookworm found dogs cats. Human takes place moist sandy contaminated b feces infected animals. Frequent sources sand above tide h.vel, garden plots edges fresh water lakes. Almost earthy spots providing suitable conditions for hatching accessible animals may become larva enters into skin part body most commonly hands feet. buttocks also site entry. all parts body. Belding (9) describes points invasion reddish itchy papules, develop within or three days narrow linear, slightly elevated erythematous, serpiginous intracutaneous tunnels formed by migration move distance inches day. Vesicles along course surface becomes dry crusty. Itching intense scratching often leaves secondary infection. differentiated similar eruptions. size burrow many reaction host's skin. papulo-vesicular "ground itch", hookworm, Necator americanus, readily recognized. In fly Gastrophilus group, lesion complex longer infections A. braziliense. This middle western states central Canada, eastern southern United States. Severe multiple eruptions noted, particularly mechanics who lain under automobiles plumbers electricians