Cutaneous larva migrans (CLM), also known as "creeping eruption," is a parasitic skin infection caused by hookworm larvae. These larvae typically infect humans through contact with contaminated soil or sand, often found in tropical and subtropical regions. Here's a breakdown of the causes and symptoms of CLM:

### Causes:
1. **Hookworm Infestation**: CLM is primarily caused by the larvae of certain species of hookworms, particularly *Ancylostoma braziliense* and *Ancylostoma caninum*.
2. **Contaminated Environment**: The larvae thrive in warm, moist environments, such as beaches, sandboxes, and areas frequented by animals like dogs and cats.
3. **Skin Penetration**: The larvae penetrate the skin, usually through direct contact with contaminated soil or sand. Walking barefoot or sitting on infected surfaces increases the risk of infection.

### Symptoms:
1. **Characteristic Skin Rash**: The hallmark symptom of CLM is a serpiginous, erythematous (red), and pruritic (itchy) rash that develops as the larvae migrate under the skin.
2. **Itching and Irritation**: The affected area often becomes intensely itchy and may lead to scratching, which can exacerbate the condition and increase the risk of secondary bacterial infection.
3. **Linear Tracks**: As the larvae move beneath the skin, they leave behind characteristic linear tracks or tunnels, ranging from a few millimeters to several centimeters in length.
4. **Delayed Onset**: Symptoms typically appear within days to weeks after exposure to contaminated soil or sand, depending on the number of larvae and individual susceptibility.
5. **Localized Swelling**: In some cases, localized swelling, redness, and inflammation may accompany the rash, particularly if the infection becomes complicated.
6. **Secondary Infection**: Prolonged scratching can lead to breaks in the skin, increasing the risk of bacterial infection, which may manifest as pain, pus formation, and worsening inflammation.
7. **Systemic Symptoms**: While rare, severe cases of CLM may be associated with systemic symptoms such as fever, malaise, and lymphadenopathy (enlarged lymph nodes), indicating a more extensive inflammatory response.

In summary, cutaneous larva migrans is a parasitic skin infection caused by hookworm larvae found in contaminated soil or sand. Its symptoms include a characteristic rash, itching, and linear tracks under the skin, with treatment involving topical anthelmintic medications and supportive care to relieve symptoms and prevent complications.

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Homeopathy is based on the principle of “like cures like” and treats diseases at the root level. Homeopathic medicines are prepared from a variety of sources like plants, animals, minerals and metals. These Homeopathic medicines are dilutions making them extremely safe for all age groups including infants.

Dr Kukreja A (Kalani), M. D(Homeopathy) has been the founder of Kent Homeopathy Clinic at Powai. She is a Homeopathic Practitioner practicing in Mumbai, India since 1999. With Relentless selfless devotion to the field of homeopathy, she has treated a number of patients for their chronic as well as acute diseases.

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