2015, Number 1
<< Back Next >>
Med Cutan Iber Lat Am 2015; 43 (1)
Demodicidosis in renal transplant patient
Chaves-Rodríguez EL, Linares-Barrios M, Jiménez-Gallo D, Navas-García N
Language: Spanish
References: 17
Page: 66-68
PDF size: 192.20 Kb.
ABSTRACT
Demodex folliculorum is a mite smaller than 0.4 mm, commonly present in facial skin. It lives as resident flora in the human pilosebaceous follicles and its density is usually low in healthy skin. Multiple cases of demodicidosis in association with immunosuppression have been described. A report of a case of a 59-year-old male who had been renal transplanted and was under immunosuppressive treatment is presented. The patient showed folliculitis caused by
Demodex presenting as midfacial erythematosus papules resembling acne rosacea. The histopathological test revealed a perifollicular inflammatory infiltrate, where mites of
Demodex folliculorum were found. The papules resolved after two months of treatment with oral ivermectin, at a dose of 12 mg monthly (for two months) and topical permethrine 5% cream.
REFERENCES
Aylesworth R, Vance C. Demodex folliculorum and Demodex brevis in cutaneous biopsies. J Am Acad Dermatol. 1982; 7: 583-589.
Akbulatova LK. The pathogenic role of Demodex mite and the clinical form of demodicosis in man. Vest Derm Vener, Moscow. 1963; 40: 57-61.
Baima B, Sticherling M. Demodicidosis revisited. Acta Derm Venereol. 2002; 82: 3-6.
Kulac M, Ciftci IH, Karaca S, Cetinkaya Z. Clinical importance of Demodex folliculorum in patients receiving phototherapy. Int J Dermatol. 2008; 47: 72-77.
Monteagudo B, Cabanillas M, García-Rego JA, de las Heras C. Spinulosis as a manifestation of demodicidosis. Actas Dermosifiliogr. 2009; 100: 512-514.
Aryes S Jr. Pityriasis folliculorum. Arch Dermatol Syph. 1930; 21: 19-24.
Serrano-Falcón C, Serrano-Ortega S. Demodex folliculorum. Monogr Dermatol. 2005; 18: 41-47.
Urbina F, Plaza C, Posada C. Foliculitis por Demodex folliculorum: forma pigmentada. Actas Dermosifiliogr. 2003; 94: 119-120.
Purcell SM, Hayes FJ, Dixon SL. Pustular folliculitis associated with Demodex folliculorum. J Am Acad Dermatol. 1986; 15: 1159-1162.
Schaller M, Sander CA, Plewing G. Demodex abscesses: clinical and therapeutic challenges. J Am Acad Dermatol. 2003; 49: S272-S274.
Forton F, Seys B, Marchall JL, Song AM. Demodex folliculorum and topical treatment: acaricidal action evaluated by standardized skin surface biopsy. Br J Dermatol. 1998; 138: 461-466.
Bonnar E, Eustace P, Powell FC. The Demodex mite population in rosacea. J Am Acad Dermatol. 1993; 28: 443-448.
Akilov OE, Mumcuoglu KY. Immune response in demodicosis. J Eur Acad Dermatol Venereol. 2004; 18: 440-444.
El-Bassiouni SO, Ahmed JA, Younis AI, Ismail MA, Saadawi AN, Bassiouni SO. A study on Demodex folliculorum mite density and immune response in patients with facial dermatoses. J Egypt Soc Parasitol. 2005; 35: 899-910.
Yagdiran-Düzgün O, Aytekin S. Comparison of Demodex folliculorum density in haemodialysis patients with a control group. J Eur Acad Dermatol Venereol. 2007; 21: 480-483.
Ozçelik S, Sümer Z, Değerli S, Ozyazici G, Hayta SB, Akyol M et al. The incidence of Demodex folliculorum in patients with chronic kidney deficiency. Turkiye Parazitol Derg. 2007; 31: 66-68.
Aydingöz IE, Dervent B. Demodex folliculorum in renal transplant patients revisited. Dermatology. 2001; 203: 272-273.