Acute inflammatory Demodex‐induced pustulosis in an immunocompetent patient related to topical steroid use

Demodex spp. mites are a common colonizer of sebaceous adult skin. Though usually clinically insignificant, demodicosis may be associated with a wide spectrum of skin diseases in immunocompetent hosts, such as erythematotelangiectatic and papulopustular rosacea, Demodex folliculorum, and blepharitis...

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Bibliographic Details
Published in:Pediatric dermatology 2020-09, Vol.37 (5), p.985-986
Main Authors: Guzman, Anthony K., Gittler, Julia K., Amin, Bijal, Srikantha, Rithu, Balagula, Yevgeniy
Format: Article
Language:English
Subjects:
Animals
Blepharitis
Case reports
Child
corticosteroid—topical
demodex
dermatopathology
Humans
Immune system
Immunocompetence
Immunodeficiency
infestations
Inflammation
Inflammatory diseases
Ivermectin
Male
Mite Infestations - diagnosis
Mite Infestations - drug therapy
Mites
Pediatrics
Pustulosis
Rosacea
Rosacea - diagnosis
Rosacea - drug therapy
Side effects
Skin diseases
Steroids - therapeutic use
therapy—systemic
Topical medication
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Summary:Demodex spp. mites are a common colonizer of sebaceous adult skin. Though usually clinically insignificant, demodicosis may be associated with a wide spectrum of skin diseases in immunocompetent hosts, such as erythematotelangiectatic and papulopustular rosacea, Demodex folliculorum, and blepharitis. We present a case of a healthy 9‐year‐old boy with an exuberant, inflammatory, Demodex‐associated pustular eruption of the face, induced by the use of a high‐potency topical steroid and successfully treated with oral ivermectin.
ISSN:0736-8046
1525-1470
DOI:10.1111/pde.14315