Authors: H. Duchková 1; V. Resl 2 Authors‘ workplace: Soukromé kožní sanatorium v Ústí nad Labem Vedoucí: prim. MUDr. Hana Duchková, DrSc. 1; Západočeská univerzita v Plzni Fakulta zdravotnických studií Děkan: doc. MUDr. Luboš Holubec, CSc. Proděkan pro vědu a výzkum: prof. MUDr. Vladimír Resl, CSc. Katedra teoretických oborů FZS ZCU Vedoucí: MUDr. Otto Kott, CSc. 2 Published in: Prakt. Lék. 2011; 91(9): 534-539 Category: Case Report
The authors present a case of 27years old man with sudden eruption of papulopustules and inflammatory nodules on erythematous and squamous base, without general symptoms. The dermal finding resembled acne fulminans, rosacea fulminans or demodicosis. The patient had no history of acne during pubescence, there were no comedones, no seborrhea, nor fever. No „flushing“, „blushing“,or ectasias. Demodex was repeatedly found by microscope in scales in great amount (>6D/cm2). The finding was confirmed by fluorescence. Histology found fragments of the mite in follicles. Antibiotic and antifungal treatment had no effect. A complete remission was achieved after repeated systemic use of metronidazole and local application of a sulphur agent. The authors set the diagnosis of demodicidosis.
Key words: demodicosis, acne fulminans, rosacea fulminans.
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