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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Itching In Hands, Feet, Red Blotches On Arms, Ankles. Tried Piriton, Daktacort. Hookworm Infestation?

Hi, for the last week I have had uncontrollable itch in my hands and feet . Over the last few days, angry blotches have appeared on my arms and ankles. Have tried piriton , daktacort and daktarin medications , but and are giving me some relief. Been to A and E where the doctor thinks it might be hookworm infestation -what do you advise?
Mon, 7 Jan 2013
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General & Family Physician,  's  Response
Hi! you might be suffering from hookworm infestation as your symptoms did not declined after taking antifungal treatment. Hookworm causes cutaneous larva migrans when the organism travel between the stratum corneum and stratum basal layer of our skin which is manifested as intense itching and blisters or serpenginous lesion over arms and ankle.secondary bacterial infection may cause worsening of the lesion.
To confirm the diagnosis you should go for stool examination for the egg of hook worm, PCR assay of stool for hookworm DNA in feces.
Hookworm also causes iron deficiency anemia so you must go for your Hemoglobin estimation.
To remove hookworm infestation you can take albendazole , mebendazole or ivermectin orally. For the relief of cutaneous symptoms you can use topical antihelminthic thiabendazole or local freezing agents like liquid nitrogen or ethyl chloride .To treat iron deficiency ferrous sulphate tablets can be taken.
For further prevention you should deworm your pets and should wash your hand properly before each meal.Do not walk bare foot on infected areas.
Take care.

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Itching In Hands, Feet, Red Blotches On Arms, Ankles. Tried Piriton, Daktacort. Hookworm Infestation?

Hi! you might be suffering from hookworm infestation as your symptoms did not declined after taking antifungal treatment. Hookworm causes cutaneous larva migrans when the organism travel between the stratum corneum and stratum basal layer of our skin which is manifested as intense itching and blisters or serpenginous lesion over arms and ankle.secondary bacterial infection may cause worsening of the lesion. To confirm the diagnosis you should go for stool examination for the egg of hook worm, PCR assay of stool for hookworm DNA in feces. Hookworm also causes iron deficiency anemia so you must go for your Hemoglobin estimation. To remove hookworm infestation you can take albendazole , mebendazole or ivermectin orally. For the relief of cutaneous symptoms you can use topical antihelminthic thiabendazole or local freezing agents like liquid nitrogen or ethyl chloride .To treat iron deficiency ferrous sulphate tablets can be taken. For further prevention you should deworm your pets and should wash your hand properly before each meal.Do not walk bare foot on infected areas. Take care.