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A case series of demodicosis in children
Annyella Douglas1, Andrea L Zaenglein1,2,3
1Pennsylvania State College of Medicine, Hershey, Pennsylvania.
Abstract:
Demodex mites are commensal inhabitants of the pilosebaceous unit that are typically absent or at low numbers in childhood. When they are present, they can cause a primary eruption or exacerbate an underlying facial dermatosis. Here we report five cases of demodicosis occurring in childhood, the clinical presentations, and responses to treatment. Papulopustular lesions predominate, prompting the advice "pustules on noses, think demodicosis!"
Insights
Demodex mites, usually rare in children, can cause skin issues like papulopustular lesions. Early recognition of these facial eruptions is key for effective treatment of childhood demodicosis.
Area of Science:
- Dermatology
- Parasitology
- Pediatrics
Background:
- Demodex mites are normal inhabitants of human pilosebaceous units.
- These mites are typically found in low numbers or are absent in children.
- Their presence in childhood can lead to primary skin eruptions or worsen existing dermatoses.
Observation:
- This study reports five cases of childhood demodicosis.
- Clinical presentations and treatment responses were documented.
- Papulopustular lesions were the predominant clinical feature observed.
Findings:
- Childhood demodicosis presents primarily with papulopustular lesions on the face.
- The presence of Demodex mites can manifest as a distinct dermatosis in children.
- Effective treatment strategies exist for pediatric demodicosis.
Implications:
- Increased awareness of Demodex mites in pediatric dermatology is warranted.
- The mnemonic "pustules on noses, think demodicosis" can aid in early diagnosis.
- Prompt diagnosis and treatment can resolve skin conditions caused by Demodex in children.
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