Severe Demodexfolliculorum�Associated Oculocutaneous Rosacea in a Girl Successfully Treated With Ivermectin

• Autores: Megan Brown, A. Hernández Martín, Ana Clement, I. Colmenero, Antonio Torrelo Fernández
• Localización: JAMA Dermatology, ISSN 2168-6068, Vol. 150, Nº. 1, 2014, págs. 61-63
• Idioma: inglés
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• Resumen

  • Importance There is a limited therapeutic armamentarium for recalcitrant cases of childhood rosacea.

    Observations We report the case of a 12-year-old girl who presented with severe ocular and cutaneous rosacea unresponsive to oral doxycycline, oral isotretinoin, and topical tacrolimus. A biopsy specimen showed numerous mites within the folliculosebaceous unit. Treatment with a single dose of oral ivermectin achieved resolution of her symptoms.

    Conclusions and Relevance The causative role of Demodex folliculorum should be considered in immunocompetent children with rosacea or rosacea-like refractory eruptions. In such cases, treatment with ivermectin can be beneficial.

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