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Recalcitrant papulopustular rosacea in an immunocompetent patient responding to combination therapy with oral ivermectin and topical permethrin.
Cutis. 2007 Aug; 80(2):149-51.C

Abstract

A 68-year-old healthy man presented with papulopustular rosacea (PPR) recalcitrant to multiple therapies, including permethrin cream 5%. Histologic examination detected the presence of chronic folliculitis and numerous Demodex organisms. A diagnosis of rosacealike demodicidosis was rendered, and the patient was treated with oral ivermectin and permethrin cream 5%, resulting in resolution of the folliculitis. Demodex infestation should be considered in any patient with rosacealike dermatitis resistant to conventional rosacea therapies. If infestation is demonstrated in these patients, oral ivermectin in combination with topical permethrin is a safe and effective therapeutic option.

Authors+Show Affiliations

Allen KJ
Indiana University School of Medicine, Indianapolis 46202, USA.
Davis CL
No affiliation info available
Billings SD
No affiliation info available
Mousdicas N
No affiliation info available

MeSH

Administration, CutaneousAdministration, OralAgedAntiparasitic AgentsDrug Therapy, CombinationHumansInsecticidesIvermectinMaleMite InfestationsPermethrinRosacea

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

17944176

Citation

Allen, Kattie J., et al. "Recalcitrant Papulopustular Rosacea in an Immunocompetent Patient Responding to Combination Therapy With Oral Ivermectin and Topical Permethrin." Cutis, vol. 80, no. 2, 2007, pp. 149-51.
Allen KJ, Davis CL, Billings SD, et al. Recalcitrant papulopustular rosacea in an immunocompetent patient responding to combination therapy with oral ivermectin and topical permethrin. Cutis. 2007;80(2):149-51.
Allen, K. J., Davis, C. L., Billings, S. D., & Mousdicas, N. (2007). Recalcitrant papulopustular rosacea in an immunocompetent patient responding to combination therapy with oral ivermectin and topical permethrin. Cutis, 80(2), 149-51.
Allen KJ, et al. Recalcitrant Papulopustular Rosacea in an Immunocompetent Patient Responding to Combination Therapy With Oral Ivermectin and Topical Permethrin. Cutis. 2007;80(2):149-51. PubMed PMID: 17944176.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recalcitrant papulopustular rosacea in an immunocompetent patient responding to combination therapy with oral ivermectin and topical permethrin. AU - Allen,Kattie J, AU - Davis,Carrie L, AU - Billings,Steven D, AU - Mousdicas,Nico, PY - 2007/10/20/pubmed PY - 2008/2/6/medline PY - 2007/10/20/entrez SP - 149 EP - 51 JF - Cutis JO - Cutis VL - 80 IS - 2 N2 - A 68-year-old healthy man presented with papulopustular rosacea (PPR) recalcitrant to multiple therapies, including permethrin cream 5%. Histologic examination detected the presence of chronic folliculitis and numerous Demodex organisms. A diagnosis of rosacealike demodicidosis was rendered, and the patient was treated with oral ivermectin and permethrin cream 5%, resulting in resolution of the folliculitis. Demodex infestation should be considered in any patient with rosacealike dermatitis resistant to conventional rosacea therapies. If infestation is demonstrated in these patients, oral ivermectin in combination with topical permethrin is a safe and effective therapeutic option. SN - 0011-4162 UR - https://brain.unboundmedicine.com/medline/citation/17944176/Recalcitrant_papulopustular_rosacea_in_an_immunocompetent_patient_responding_to_combination_therapy_with_oral_ivermectin_and_topical_permethrin_ L2 - https://medlineplus.gov/rosacea.html DB - PRIME DP - Unbound Medicine ER -