Pulmonary eosinophilia associated with cutaneous larva migrans.

Transient pulmonary eosinophilia (synonyms Loeffler' s syndrome, pulmonary infiltration with eosinophilia) was observed in a patient with cutaneous larva migrans (synonyms creeping eruption, plumber's itch), a rare association only previously reported from the United States.' 2 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.