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

Megan Brown, A. Hernández Martín, Ana Clement, I. Colmenero, Antonio Torrelo Fernández

• 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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