A 64-year-old man with metastatic lung adenocarcinoma who had recently started high-dose steroids for malignant spinal cord compression developed an itchy rash and diarrhea. He had a 3-year history of intermittent peripheral eosinophilia of unknown cause.
What is the most likely diagnosis?
A. Cutaneous larva migrans
B. Cutaneous schistosomiasis
C. Larva currens from Strongyloides
D. Lichen striatus
E.Scabies
答案解析:
粪便检查可见粪类圆线虫种的横纹肌样和丝状幼虫,诊断为类圆线虫高感染综合征伴幼虫流。口服伊维菌素治疗后,患者皮疹和腹泻减轻。
正确答案:C
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