Cutaneous larva migrans with parts of the larva in the epidermis.
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Creeping eruption is usually caused by hookworms, most commonly Ancylostoma braziliensis and Ancylostoma caninum. Because lesions of cutaneous larva migrans have a typical clinical appearance, they are rarely biopsied. Specimens usually show spongiotic dermatitis with spongiotic vesicles containing neutrophils and eosinophils and a mixed-cell dermal infiltrate with numerous eosinophils. We report a case with parts of the larva migrans in the epidermis on histologic examination.