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Thread: Facial erythematous annular plaques: A case of annular Demodex facial dermatitis?

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    Default Facial erythematous annular plaques: A case of annular Demodex facial dermatitis?

    A 19-year-old white woman, with no relevant medical history, presented with annular erythematous plaques of approximately 1 week’s duration. The lesions were asymptomatic and the patient had attempted using miconazole cream to the affected areas daily without resolution of symptoms. On examination, annular erythematous plaques with a minimal collarette of scale were scattered over the left forehead and the intersection of the right labiomental crease and nasolabial folds ( Fig 1). Scrapings obtained from the periphery of both lesions were analyzed microscopically with a potassium hydroxide preparation at ×10 magnification ( Fig 2). Our patient was successfully treated with a combination of topical ivermectin 2% cream (compounded from ivermectin powder United States Pharmacopeia, in propylene glycol and versa base cream) applied to the affected areas twice a day and sodium sulfacetamide 10% and sulfur 5% wash daily. Upon telephone follow-up with the patient, she stated her facial dermatitis resolved after 3 weeks of treatment.
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