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December 15, 1945


JAMA. 1945;129(16):1122. doi:10.1001/jama.1945.02860500054023

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To the Editor:—  We wish to add the feature of remote skin response to the allergic picture of cutaneous helminthiasis (larva migrans, or creeping eruption) recently delineated in The Journal (Wright, D. O., and Gold, E. M.: Loeffler's Syndrome Associated with Creeping Eruption [Cutaneous Helminthiasis], The Journal, August 11, p. 1082).On September 20 one of us (H. A. A.) noted a triple infestation of the sole of his right foot manifested by typical serpentine burrows of larva migrans. At the same time he became aware of pruritic skin lesions which successively but meagerly invaded various parts of his torso before appearing profusely on the inner aspect of each thigh about twenty-four hours later. The eruption consisted of discrete, dull erythematous plaques measuring about a centimeter in diameter. The itch was mild. As each lesion receded, its surface became somewhat crinkled. An occasional plaque then seemed to contain a superficial

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