Related Experiment Video
Updated: Jul 7, 2026

Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
Unilateral Papulopustular Dermatosis: Demodex Mites Bridging Rosacea and Demodicosis
Jesús Iván Martínez-Ortega1, Tiffany Karoly Medina Angulo2, Jacqueline E Mut Quej3
1Dermatology, Dermatology Institute of Jalisco, Zapopan, MEX.
Abstract:
Papulopustular rosacea (PPR) is a common inflammatory dermatosis often associated with Demodex mite proliferation, though its pathogenesis remains incompletely understood. While bilateral presentations predominate, unilateral cases are rare and may offer unique insights into disease mechanisms. We report a case of a 68-year-old female with a chronic erythematous and scaly rash confined to the right malar region. Standardized skin surface biopsy revealed a high Demodex density (>5 mites/cm²), confirming demodicosis. Treatment with topical ivermectin cream resulted in significant improvement within four weeks. This case underscores the importance of considering demodicosis in the differential diagnosis of atypical facial dermatoses and revisits the classification, pathogenesis, diagnostic algorithm, and treatment strategies for inflammatory facial conditions. The findings support the inclusion of Demodex proliferation in disease frameworks and its potential impact on tailored therapeutic approaches.
Insights
Unilateral papulopustular rosacea (PPR) is rare. A case study found high Demodex mite density in a unilateral facial rash, successfully treated with topical ivermectin, highlighting Demodex in atypical rosacea.
Area of Science:
- Dermatology
- Parasitology
Background:
- Papulopustular rosacea (PPR) is a common inflammatory skin condition.
- Its exact cause is unknown, but Demodex mite overgrowth is often implicated.
- Unilateral PPR is uncommon and may provide insights into disease mechanisms.
Observation:
- A 68-year-old female presented with a chronic, localized rash on her right cheek.
- Skin examination revealed redness and scaling.
- A skin surface biopsy confirmed a high density of Demodex mites.
Findings:
- The patient was diagnosed with demodicosis, a condition caused by Demodex mite infestation.
- Treatment with topical ivermectin cream led to substantial improvement in symptoms within four weeks.
- This case supports the role of Demodex mites in inflammatory facial conditions.
Implications:
- Highlights the importance of considering demodicosis in diagnosing unusual facial rashes.
- Suggests Demodex mite density should be evaluated in rosacea and related conditions.
- Supports incorporating Demodex mite management into treatment strategies for facial dermatoses.
More Related Videos
10:05Stimulation of Stem Cell Niches and Tissue Regeneration in Mouse Skin by Switchable Protoporphyrin IX-Dependent Photogeneration of Reactive Oxygen Species In Situ
Published on: May 8, 2020
03:22Author Spotlight: Advancing Pathogen Detection and Disease Assessment in Real-Time Using M-ROSE
Published on: March 1, 2024
Related Concept Videos
Desmosomes
Papillary Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...
Accessory Structures of the Skin: Sebaceous Glands
These glands that produce the oils on the skin and hair are holocrine glands. The mature...
Skin Diseases and Disorders
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
The Skin Microbiota
Acne Infection