Pulmonary eosinophilia associated with cutaneous larva migrans.

Case report A 58 year old non-smoking caucasian woman noticed an itchy rash on her buttocks on 29 October 1983, two days before returning to London from her holiday in Barbados. Her travelling companions were unaffected. On her return similar lesions developed on her legs and abdomen. On 15 November she noticed a cough, which was dry until 25 November, when she produced a little white sputum. There was no wheeze, breathlessness, or haemoptysis. She was anorexic and lost 4*4 kg in weight. Bowel function was normal. Her medication consisted of atenolol 100 mg and chlorthalidone 25 mg daily for hypertension. There was no history of allergic conditions such as rhinitis, asthma, or eczema. On examination on 8 November she had at least 20 slightly raised, erythematous, serpiginous burrows typical of cutaneous larva migrans on her abdomen, buttocks, and legs (fig). Treatment with antipruritic drugs did not help