Clinical manifestation

Often associated with history of sunbathing or walking barefoot on the beach; tingling/prickling, pruritus at site of exposure within 30 minutes of larvae penetration; advancing, erythematous, often linear lesions, occurring on dorsa of feet, interdigital spaces of toes, anogenital region, buttocks, hands, and knees; 2-3-mm-wide, ser-piginous, slightly elevated, erythematous tunnels, tracking 3-4 cm from penetration site; vesicles with serous fluid; occasional secondary impetiginization; systemic signs: peripheral eosinophilia and increased IgE levels

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