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

JAMA Dermatol. 2013 Nov 27;

Authors: Brown M, Hernández-Martín A, Clement A, Colmenero I, Torrelo A

Abstract
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. 

PMID: 24284904 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/24284904?dopt=Abstract = URL to article

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