Larva migrans within scalp sebaceous gland

Cutaneous larva migrans (creeping eruption) in an urban slum in Brazil

“…Interestingly, 9% of CLM lesions were found on the head. Other authors have described larvae in the oral cavity, 36 on the face, 5 and on the scalp 37 …”

Soil-Transmitted Helminthic Zoonoses in Humans and Associated Risk Factors

“…A recent case series of CLM in Brazil, for example, showed that cutaneous lesions are more frequently observed on the feet (73.3%), buttocks (14.7%), genital and inguinal areas (8.0%), legs (2.7%), and hands (1.3%) (Jackson et al, 2006). Other sites, such as the face (Bouchad et al, 2000) and the scalp (Guimarães et al, 1999), are rarely affected. Clinical diagnosis is reached based on the typical skin lesions, while biopsies have little diagnostic value, showing an eosinophilic inflammatory infiltrate.…”

Cutaneous ectoparasites

“…When the victim sits, stands, or lies on contaminated soil or sand, the organism has the opportunity to penetrate into his/her skin. Organisms choose a site on the skin, often on eccrine or sebaceous glands (53,55) or on injured skin (46). The larvae form an erythematous papule at the site of penetration (46,48,52) (FIG.…”

“…Children in particular seem to have lesions on the buttocks and genitalia because they sit in contaminated sand and dirt. Lesions can be found anywhere on the body, including the scalp (55), face, hands, or trunk (46,47). Individuals of any age can get larva migrans, although it seems more common in children and young adults, and rare in the aged (56,58).…”