Demodicosis in an immunocompetent pediatric patient related to the use of corticosteroids
DOI:
https://doi.org/10.29176/30284163.2056Keywords:
Demodicosis, Demodex, topical corticosteroidsAbstract
Demodicosis is a rare infestation in children, primarily described in immunosuppressed infants (HIV, leukemias, and Langerhans cell histiocytosis under immunosuppressive treatment).
Cases in immunocompetent children are much rarer, and some have been associated with the use of potent topical corticosteroids.
We present the case of a 5-year-old immunocompetent female patient who, after applying methylprednisolone aceponate cream for 3 weeks, developed numerous erythematous plaques with pustules on her face. A 20% KOH examination revealed numerous Demodex mites. Treatment with topical ivermectin and oral erythromycin was initiated, showing excellent results by the second week of treatment.
Author Biographies
Italo Valero Román, Hospital Nacional Dos de Mayo
Médico residente, Hospital Nacional Dos de Mayo
Felipe Velásquez-Vaderrama, Instituto Nacional de Salud del Niño Breña
Medico asistente, Instituto Nacional de Salud del Niño Breña.
Rosario Torres-Ibérico, Instituto Nacional de Salud del Niño Breña
Medico asistente, Instituto Nacional de Salud del Niño Breña.
Marlyn Whitney Aguilar Huamán, Hospital Regional Docente de Cajamarca
Médico dermatólogo, Hospital Regional Docente de Cajamarca.
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Copyright (c) 2025 Italo Valero Román
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