Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study

Abstract Our study evaluated the association between Demodex infestation and recurrent hordeola and examined the clinical features associated with these eyelid lesions. This was an observational, comparative study. We reviewed 250 patients and divided them into the recurrent hordeolum (n = 153) and...

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Autores principales:	Sung Yeon Jun, Yeon Jung Choi, Bo Ram Lee, Sang Un Lee, Sung Chul Kim
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/21949feec0b649a5b835466461dbfa52
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spelling	oai:doaj.org-article:21949feec0b649a5b835466461dbfa522021-11-08T10:50:15ZClinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study10.1038/s41598-021-00599-72045-2322https://doaj.org/article/21949feec0b649a5b835466461dbfa522021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-00599-7https://doaj.org/toc/2045-2322Abstract Our study evaluated the association between Demodex infestation and recurrent hordeola and examined the clinical features associated with these eyelid lesions. This was an observational, comparative study. We reviewed 250 patients and divided them into the recurrent hordeolum (n = 153) and control (n = 97) groups. Demodex infestation was detected by epilating eyelashes around the lesion/s and viewing them under a light microscope. Patient medical records and photographs were retrospectively analyzed to identify the clinical characteristics of Demodex-associated recurrent hordeola. Demodex was detected in 91 (59.5%) and 17 (17.5%) patients in the recurrent hordeolum and control groups (p < 0.001), respectively. In the recurrent hordeolum group, Demodex mites were found in 74 (68.5%) and 17 (37.8%) of the adult and pediatric patients (p < 0.001), respectively. Among patients with recurrent hordeola, patients in their 20s were most likely to have concomitant Demodex infestation. Patients with Demodex infestations were also more likely to develop recurrent lesions within a shorter period of time from the primary incision and curettage. The most common presentation of Demodex-associated recurrent lesions was external hordeola (67%) (p = 0.002). Demodex infestation may cause recurrent hordeola in adults and children. These mites may play a greater role in the development of lesions in adult patients. The strongest association between Demodex infestation and recurrent lesions was seen in patients in their 20s. Our results suggest that if the hordeola recur within a short period of time with the clinical characteristics of external location of eyelid, multiple numbers of lesions, or anterior blepharitis, eyelash epilation should be performed to identify the presence of Demodex mites.Sung Yeon JunYeon Jung ChoiBo Ram LeeSang Un LeeSung Chul KimNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sung Yeon Jun Yeon Jung Choi Bo Ram Lee Sang Un Lee Sung Chul Kim Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study
description	Abstract Our study evaluated the association between Demodex infestation and recurrent hordeola and examined the clinical features associated with these eyelid lesions. This was an observational, comparative study. We reviewed 250 patients and divided them into the recurrent hordeolum (n = 153) and control (n = 97) groups. Demodex infestation was detected by epilating eyelashes around the lesion/s and viewing them under a light microscope. Patient medical records and photographs were retrospectively analyzed to identify the clinical characteristics of Demodex-associated recurrent hordeola. Demodex was detected in 91 (59.5%) and 17 (17.5%) patients in the recurrent hordeolum and control groups (p < 0.001), respectively. In the recurrent hordeolum group, Demodex mites were found in 74 (68.5%) and 17 (37.8%) of the adult and pediatric patients (p < 0.001), respectively. Among patients with recurrent hordeola, patients in their 20s were most likely to have concomitant Demodex infestation. Patients with Demodex infestations were also more likely to develop recurrent lesions within a shorter period of time from the primary incision and curettage. The most common presentation of Demodex-associated recurrent lesions was external hordeola (67%) (p = 0.002). Demodex infestation may cause recurrent hordeola in adults and children. These mites may play a greater role in the development of lesions in adult patients. The strongest association between Demodex infestation and recurrent lesions was seen in patients in their 20s. Our results suggest that if the hordeola recur within a short period of time with the clinical characteristics of external location of eyelid, multiple numbers of lesions, or anterior blepharitis, eyelash epilation should be performed to identify the presence of Demodex mites.
format	article
author	Sung Yeon Jun Yeon Jung Choi Bo Ram Lee Sang Un Lee Sung Chul Kim
author_facet	Sung Yeon Jun Yeon Jung Choi Bo Ram Lee Sang Un Lee Sung Chul Kim
author_sort	Sung Yeon Jun
title	Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study
title_short	Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study
title_full	Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study
title_fullStr	Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study
title_full_unstemmed	Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study
title_sort	clinical characteristics of demodex-associated recurrent hordeola: an observational, comparative study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/21949feec0b649a5b835466461dbfa52
work_keys_str_mv	AT sungyeonjun clinicalcharacteristicsofdemodexassociatedrecurrenthordeolaanobservationalcomparativestudy AT yeonjungchoi clinicalcharacteristicsofdemodexassociatedrecurrenthordeolaanobservationalcomparativestudy AT boramlee clinicalcharacteristicsofdemodexassociatedrecurrenthordeolaanobservationalcomparativestudy AT sangunlee clinicalcharacteristicsofdemodexassociatedrecurrenthordeolaanobservationalcomparativestudy AT sungchulkim clinicalcharacteristicsofdemodexassociatedrecurrenthordeolaanobservationalcomparativestudy
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Clinical characteristics of Demodex-associated recurrent hordeola: an observational, comparative study

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