Crusted Demodicosis in an Immunocompetent Pediatric Patient
Joint Authors
Guerrero-González, Guillermo Antonio
Herz-Ruelas, Maira Elizabeth
Gomez-Flores, Minerva
Ocampo-Candiani, Jorge
Source
Case Reports in Dermatological Medicine
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-10-09
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Demodicosis refers to the infestation by Demodex spp., a saprophytic mite of the pilosebaceous unit.
Demodex proliferation can result in a number of cutaneous disorders including pustular folliculitis, pityriasis folliculorum, papulopustular, and granulomatous rosacea, among others.
We report the case of a 7-year-old female presenting with pruritic grayish crusted lesions over her nose and cheeks, along with facial erythema, papules, and pustules.
The father referred chronic use of topical steroids.
A potassium hydroxide mount of a pustule scraping revealed several D.
folliculorum mites.
Oral ivermectin (200 μg/kg, single dose) plus topical permethrin 5% lotion applied for 3 consecutive nights were administered.
Oral ivermectin was repeated every week and oral erythromycin plus topical metronidazole cream was added.
The facial lesions greatly improved within the following 3 months.
While infestation of the pilosebaceous unit by Demodex folliculorum mites is common, only few individuals present symptoms.
Demodicosis can present as pruritic papules, pustules, plaques, and granulomatous facial lesions.
To our knowledge, this is the first reported case of facial crusted demodicosis in an immunocompetent child.
The development of symptoms in this patient could be secondary to local immunosuppression caused by the chronic use of topical steroids.
American Psychological Association (APA)
Guerrero-González, Guillermo Antonio& Herz-Ruelas, Maira Elizabeth& Gomez-Flores, Minerva& Ocampo-Candiani, Jorge. 2014. Crusted Demodicosis in an Immunocompetent Pediatric Patient. Case Reports in Dermatological Medicine،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1016968
Modern Language Association (MLA)
Guerrero-González, Guillermo Antonio…[et al.]. Crusted Demodicosis in an Immunocompetent Pediatric Patient. Case Reports in Dermatological Medicine No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-1016968
American Medical Association (AMA)
Guerrero-González, Guillermo Antonio& Herz-Ruelas, Maira Elizabeth& Gomez-Flores, Minerva& Ocampo-Candiani, Jorge. Crusted Demodicosis in an Immunocompetent Pediatric Patient. Case Reports in Dermatological Medicine. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-1016968
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1016968