| Diagnosis | No. (% of all dermatologic diagnoses) | Top 3 source countries for diagnosis | Trip duration, d; median (IQR) | ||
|---|---|---|---|---|---|
| 1. | Rash | 212 | (19.7) | Mexico; Cuba; India, Costa Rica, Dominican Republic (tied) | 15 (7–32.75) |
| Unknown etiology, nonfebrile | 77 | ||||
| Atopic dermatitis | 40 | ||||
| Contact dermatitis | 33 | ||||
| Urticaria/angioedema | 28 | ||||
| Photosensitivity | 19 | ||||
| Drug related | 11 | ||||
| Sea bather’s eruption | 3 | ||||
| Heat induced | 1 | ||||
| 2. | Arthropod bites | 207 | (19.2) | United States, Cuba, Mexico | 14 (7–23) |
| Insect bites; including stings | 142 | ||||
| Tick bites | 38 | ||||
| Insect bites, superinfected | 24 | ||||
| Spider bites | 3 | ||||
| 3. | Skin and soft tissue infection | 156 | (14.5) | Cuba, India, United States | 29 (10–63) |
| Superficial | 94 | ||||
| Skin and soft tissue | 27 | ||||
| Skin abscess | 17 | ||||
| Secondary infection of existing skin lesion | 18 | ||||
| 4. | Cutaneous larva migrans | 105 | (9.8) | Jamaica, Mexico, Barbados | 10 (7–18.75) |
| 5. | Pruritus, unknown origin | 65 | (6.0) | Dominican Republic, Cuba, Ghana | 14 (7–29) |
| 6. | Animal bites | 56 | (5.2) | Thailand; Indonesia; Chile, Mexico, India (tied) | 22 (14.25–36) |
| Monkey | 25 | ||||
| Dog | 18 | ||||
| Other* | 10 | ||||
| Cat | 3 | ||||
| Required rabies PEP | 47 | ||||
| 7. | Fungal infection (superficial/cutaneous mycosis) | 46 | (4.3) | Cuba, Mexico, India | 22 (8–61) |
| 8. | Cutaneous leishmaniasis | 36 | (3.3) | Costa Rica, Syrian Arab Republic, Afghanistan | 35 (23.5–56.75) |
| 9. | Marine envenomation† | 32 | (3.0) | United States, Mexico, Cuba | 8 (7–14) |
| 10. | Infestations | 26 | (2.4) | India, Panama, Dominican Republic | 23 (14.25–64.5) |
| Scabies | 22 | ||||
| Lice | 3 | ||||
| Mites | 1 | ||||
| 11. | Myiasis | 18 | (1.7) | Costa Rica, Belize, Uganda | 16.5 (9–24) |
| 12. | Leprosy | 15 | (1.4) | Sri Lanka, Philippines, India | NA‡ |
| 13. | Psoriasis | 10 | (0.9) | Vietnam; Thailand, Russia, Philippines, Jamaica, Cambodia (tied) | 18 (4.5–29) |
NOTE: PEP = postexposure prophylaxis. *Includes bites from a bat,6 tiger,1 stingray1 and leech.1 †Includes envenomations from jellyfish and other cnidarians, sea anemone, stingray and venomous fish. This does not include envenomations from sea bather’s eruption, because this is otherwise classified. ‡Not applicable. The reason for travel in leprosy cases is immigration.