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Updated: Jul 13, 2026

05:44
Skin Biopsy for Diagnosing Discoid Lupus Erythematosus
Published on: June 10, 2025
233
Demodex Infestation in Discoid Lupus Erythematosus: A Histopathologic Study
Gülhan Aksoy Saraç1, Selma Emre2, Merve Kaya1
1Department of Dermatology, Ankara Bilkent City Hospital, Ankara, Turkey.
The American Journal of Dermatopathology
|July 3, 2025
Summary
Discoid lupus erythematosus (DLE) shows a 36.5% prevalence of Demodex mite infestation, particularly on the face. While not directly causing DLE, mites may be secondarily associated with the condition.
Area of Science:
- Dermatology
- Parasitology
- Immunology
Background:
- Discoid lupus erythematosus (DLE) is a chronic autoimmune skin condition.
- DLE presents as inflammatory plaques leading to scarring and hair loss.
- A potential link between Demodex mites and DLE pathogenesis is under investigation.
Purpose of the Study:
- To determine the prevalence of Demodex mite infestation in DLE patients.
- To explore the potential role of Demodex mites in DLE pathogenesis.
Main Methods:
- Assessment of 85 histopathologically and clinically confirmed DLE patients.
- Collection of clinical and histopathologic data.
- Evaluation of biopsy specimens for Demodex mite presence using hematoxylin-eosin staining.
Main Results:
- Demodex mites were detected in 36.5% of DLE patients.
- Infestation was significantly more common on the face (47.1%) than the scalp (16.7%).
- No significant association found between Demodex positivity and patient age, sex, or histopathologic findings.
Conclusions:
- Demodex mites may not directly cause DLE.
- Increased mite prevalence on facial lesions suggests a secondary association.
- Further research is needed to clarify the impact of Demodex on DLE progression and treatment.
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