A Lifeguard’s Serpentine Rash

A 19-year-old lifeguard develops an unusual, serpiginous Rash on his neck after spending time on the beach. What could be the cause of this lesion?

Cutaneous larva migrans


A 19-year-old man presented with a 3-week history of an asymptomatic rash on his neck. He worked as a beach lifeguard in southern California and reported no recent international travel. On physical examination, two erythematous, raised, serpiginous eruptions were seen on the neck — one on the posterior surface and another on the right lateral surface. A punch biopsy showed nonspecific inflammation. A potassium hydroxide scraping was negative for fungal elements. What is the diagnosis?

What is the most likely diagnosis?

Cutaneous larva migrans
Larva currens
Loiasis
Tinea corporis
Scabies

Cutaneous larva migrans, Dermatology, Parasitic Infection, Serpiginous Eruption, Zoonosis

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