Ocular Cutaneous Demodectic Rosacea

[Guide]

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. 

Case Report/Case Series The cutting Edge
January 2014
Severe Demodexfolliculorum–Associated Oculocutaneous Rosacea in a Girl Successfully Treated With Ivermectin
Megan Brown, MD; Angela Hernández-Martín, MD; Ana Clement, MD; et al

PubMed