Demodecosis( demodex) - Causes, symptoms and treatment. MF.
Causes of demodectic skin
Demodectic is an infectious disease caused by a subcutaneous demodex mite( demodex folliculorum), which lives in the sebaceous glands, glands of the eyelids and hair follicles. The size of the tick itself is no more than 0.5 mm. The tick feeds on the contents of the glands, and therefore the largest accumulation of individuals is observed in places most rich in sebaceous glands( these are the wings of the nose, nasolabial triangle, chin).Also, the localization of demodicosis becomes the eyes( eyelid edges).The presence of a tick is the main cause of demodectomy.
Growth Demodex can provoke hormonal ointments and products containing vegetable oils, fat, Vaseline.
Symptoms of demodectic
90% of a healthy population are carriers of demodex, but it does not manifest itself. Adverse conditions such as decreased immunity, stress, hormonal imbalance, neuroendocrine diseases, gastrointestinal disorders, abuse of the solarium or exposure to the sun, excessive bathing, can provoke increased demodex growth and the appearance of symptoms. Usually, the first symptom of demodicosis is itching, especially in the evening hours, since the tick is most active in the evening and at night, red spots appear, the skin becomes inflamed, becomes bumpy, papules( nodules) appear on the skin, the pores expand if the eyelids are involved in the process, the edges of the eyelids can become inflamed( blepharitis occurs), the appearance of the mucous discharge can occur, white scales may appear on the eyelashes, the eyelashes themselves drop strongly, if the inflammation passes to the conjunctiva, redness, lacrimation,your sand or foreign body in the eye.
Often demodicosis is combined with rosacea, perioral dermatitis, especially after treatment with hormonal ointments, in men there is a combination of demodicosis with prostate pathology, and in women with thyroid gland pathology.
Demodicosis examination
To clarify the diagnosis of demodicosis, scrape from the skin and look under a microscope. Visually, the diagnosis can not be made, demodex is very small and it lives under the skin. For the analysis to be reliable, one should not wash one day before it is taken and use any creams within 10 days before the doctor's appointment.
Demodex under a microscope( different stages of tick development)
Often demodicosis is confused with common acne and try to get rid of them using various home remedies, but it only gets worse. If this is your situation - take the analysis for demodex.
Treatment of demodectic
The goal of the treatment is the complete destruction of the tick and the creation in the organism of unfavorable conditions for its existence. As the etiological treatment, the following drugs are prescribed for the course: trichopolum, tiberal, externally ointment with trichopolum, benzyl benzoate, triderm, ointment of pits, and other means with short courses, then 1-2 weeks break and repeated course.
In parallel, vitamin therapy may be required, the treatment of chronic diseases if they are available to prevent the re-emergence of demodectic disease. At the time of treatment, it is necessary to exclude alcohol, smoking, sweet, spicy, give up decorative cosmetics.
The development cycle of demodex mite is from 15 to 25 days, respectively, the course of demodectic treatment should last at least a month. As a rule, several courses of treatment are used to prevent relapse.
Complications of demodectic
The main complication is the infection of places of combing from a bite of demodex by other infections.
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