For many years various methods of destructive nature have been used in an effort to kill the larvae in the skin in the treatment of creeping eruption. These measures range from injections of phenol (necrotizing) to the commoner use of either ethyl chloride or solid carbon dioxide (Dry Ice) to cause blistering of the skin at the spot where the larvae is supposed to be. I have always preferred the use of solid carbon dioxide pencils.
All of the internal remedies suggested (including my own mistaken ideas on diethylcarbamazine citrate [Hetrazan])1 have failed rather consistently in my practice. Therefore, a relatively painless and nonscarring method of treatment is a most welcome addition to the, at present, ineffectual methods of therapy.
Such an advance would seem to be the vibrapuncture method.2 The ends of the trails are located and the estimated site of the larva outlined.
van de ERVE J. Vibrapuncture Treatment for Creeping Eruption. AMA Arch Derm. 1959;79(1):101. doi:10.1001/archderm.1959.01560130103013
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