Creeping Eruption = "Cutaneous Larva Migrans"
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þ Cause of Creeping Eruption
 - from dog (or cat) tapeworm larvae in the feet
 - from walking on less-rich Caribbean beaches where dogs run loose.
 - Third most common complaint of returning tropical travelers, after diarrhea
   and fever
   [Keystone, NEJM 2006;354:119-30]

þ Natural History of Creeping Eruption
 - lasts for a month then resolves

þ Diagnosis of Creeping Eruption
 - a lot bigger than scabies
 - 1-2 cm/day progress
 - but looks like scabies
 - may be vesiculobullous
 - on the feet, particularly the soles

þ Treatment of Creeping Eruption
 - freeze both ends with liquid nitrogen, some say
 - others say treat with
  + Albenza (albendazole) 400 mg/day for 3 days, or
  + Stromectol (ivermectin) single 200 mcg/kg dose