A 62-year-old missionary sister suffered from abdominal pains and diarrhoea since she left the Congo in 1939. For the last 20 years she also had recurrent attacks of itching during which she showed rapidly migrating linear urticarial weals on the skin of the abdomen and thighs. After she received prednisone, her skin lesions became generalized and her stools, which had been negative for worms, showed rhabditiform larvae of Strongyloides stercoralis. Eosinophilia was an irregular finding in this patient. She improved rapidly after two courses of thiabendazole.

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