Cutaneous Larva Migrants

This clinical image report describes a 19-year-old male beach lifeguard in Southern California who presented with a three-week asymptomatic rash on his neck. Physical examination revealed serpiginous, raised erythematous lesions. Based on his occupation, clinical appearance, and exposure to sand, a diagnosis of cutaneous larva migrans was made. The condition results from skin penetration by hookworm larvae from contaminated soil or sand, typically in tropical or subtropical climates. The patient was treated with ivermectin and experienced resolution of symptoms. This case highlights an uncommon location of the rash due to occupational exposure.

This clinical image report describes a 19-year-old male beach lifeguard in Southern California who presented with a three-week asymptomatic rash on his neck. Physical examination revealed serpiginous, raised erythematous lesions. Based on his occupation, clinical appearance, and exposure to sand, a diagnosis of cutaneous larva migrans was made. The condition results from skin penetration by hookworm larvae from contaminated soil or sand, typically in tropical or subtropical climates. The patient was treated with ivermectin and experienced resolution of symptoms. This case highlights an uncommon location of the rash due to occupational exposure.