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Therapeutic Approach

Helminths are parasitic worms of medical importance, divided into 3 classes: nematodes (roundworms), trematodes (flukes), and cestodes (tapeworms). Endemic areas vary for many helminths; however, given the ease of travel, infections may be seen anywhere. A wide array of helminths causes cutaneous disease. Therapy should target the specific worm causing infection. When possible, the authors recommend using benzimidazoles given their superior efficacy and side-effect profile. See Table 149-1.

Table 149-1Helminths Treatment Table

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