Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species
Background: Demodex mites are highly found in the skin of patients with rosacea.The diagnosis of Demodex can be made by standardized skin surface biopsy. Dermoscopy is a tool used in the noninvasive diagnosis of various dermatological diseases. Objectives: To determine whether dermoscopic featur...
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Mattioli1885
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oai:doaj.org-article:439fe14404e64687b8e2087df9d441852021-11-17T08:28:13ZScale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species10.5826/dpc.1101a1392160-9381https://doaj.org/article/439fe14404e64687b8e2087df9d441852021-01-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/1454https://doaj.org/toc/2160-9381 Background: Demodex mites are highly found in the skin of patients with rosacea.The diagnosis of Demodex can be made by standardized skin surface biopsy. Dermoscopy is a tool used in the noninvasive diagnosis of various dermatological diseases. Objectives: To determine whether dermoscopic features of demodicosis are associated with the result of standardized skin surface biopsy in patients with rosacea and to compare dermoscopic features of rosacea in Demodex-positive and negative samples and Demodex type. Methods: A total of 30 patients (7 male, 23 female) were included in the study. Dermoscopic examination was performed on both the clinically most severely affected areas and adjacent healthy skin. The skin surface biopsy sample was taken from the same place from where the dermoscopic image was taken. Results: A total of 83 (lesion n = 60, non-lesion n = 23) areas were evaluated. Demodex was detected in 60.2% (n = 50) of the samples. Half of these samples revealed only Demodex folliculorum, and the remaining half revealed D folliculorum and Demodex brevis. Of theDemodex-positive samples, 88% had Demodex tails (P =0.001) and68% Demodex follicular openings (P = 0.002) on dermoscopy. In D folliculorum+D brevis-positive samples, the rate of scale and pustule was higher than D folliculorum-positive samples (P = 0.017 and P = 0032,respectively). Conclusions: The sensitivity and specificity of Demodex tail are higher than Demodex follicular opening and scale and pustule detection with dermoscopy and may indicate the coexistence of both D folliculorum and D brevis. Gamze SerarslanÖzlem Makbule KayaEmre DiricanMattioli1885articleDemodex folliculorumDemodex brevisrosaceadermoscopyDermatologyRL1-803ENDermatology Practical & Conceptual, Vol 11, Iss 1 (2021) |
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Demodex folliculorum Demodex brevis rosacea dermoscopy Dermatology RL1-803 |
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Demodex folliculorum Demodex brevis rosacea dermoscopy Dermatology RL1-803 Gamze Serarslan Özlem Makbule Kaya Emre Dirican Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species |
description |
Background: Demodex mites are highly found in the skin of patients with rosacea.The diagnosis of Demodex can be made by standardized skin surface biopsy. Dermoscopy is a tool used in the noninvasive diagnosis of various dermatological diseases.
Objectives: To determine whether dermoscopic features of demodicosis are associated with the result of standardized skin surface biopsy in patients with rosacea and to compare dermoscopic features of rosacea in Demodex-positive and negative samples and Demodex type.
Methods: A total of 30 patients (7 male, 23 female) were included in the study. Dermoscopic examination was performed on both the clinically most severely affected areas and adjacent healthy skin. The skin surface biopsy sample was taken from the same place from where the dermoscopic image was taken.
Results: A total of 83 (lesion n = 60, non-lesion n = 23) areas were evaluated. Demodex was detected in 60.2% (n = 50) of the samples. Half of these samples revealed only Demodex folliculorum, and the remaining half revealed D folliculorum and Demodex brevis. Of theDemodex-positive samples, 88% had Demodex tails (P =0.001) and68% Demodex follicular openings (P = 0.002) on dermoscopy. In D folliculorum+D brevis-positive samples, the rate of scale and pustule was higher than D folliculorum-positive samples (P = 0.017 and P = 0032,respectively).
Conclusions: The sensitivity and specificity of Demodex tail are higher than Demodex follicular opening and scale and pustule detection with dermoscopy and may indicate the coexistence of both D folliculorum and D brevis.
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format |
article |
author |
Gamze Serarslan Özlem Makbule Kaya Emre Dirican |
author_facet |
Gamze Serarslan Özlem Makbule Kaya Emre Dirican |
author_sort |
Gamze Serarslan |
title |
Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species |
title_short |
Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species |
title_full |
Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species |
title_fullStr |
Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species |
title_full_unstemmed |
Scale and Pustule on Dermoscopy of Rosacea: A Diagnostic Clue for Demodex Species |
title_sort |
scale and pustule on dermoscopy of rosacea: a diagnostic clue for demodex species |
publisher |
Mattioli1885 |
publishDate |
2021 |
url |
https://doaj.org/article/439fe14404e64687b8e2087df9d44185 |
work_keys_str_mv |
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