Relationship of Demodex Mites in Immunodeficiency, Rocesea, Blepharitis and Some Clinical Findings

Relationship of Demodex Mites in Immunodeficiency, Rocesea, Blepharitis and Some Clinical Findings

Objective: Demodex folliculorum and Demodex brevis are two species known to settle on the skin of humans. Demodex mite infections are called demodicosis. Demodicosis, which is usually asymptomatic, is known to cause some skin diseases as a result of an imbalance in immune system mechanisms This study was conducted to investigate the relationship between Demodex spp. infestations and clinical signs, such as immunodeficiency, rosacea, blepharitis and facial itching, facial flushing, facial tenderness, facial rash, and sunburn.Methods: A total of 350 patients, 178 of whom were immunosuppressed and 172 who were immunocompetent, were included in the study. Samples were taken from the nose, chin, and forehead areas, using the standard superficial skin biopsy method and were examined under a microscope.Results: Demodex spp. was detected in 224 of the 350 patients, including 144 (80.90%) of the 178 immunosuppressed patients and 88 (51.16%) of the 172 immunocompetent patients included in the study. The difference between Demodex spp. positivity in the immunosuppressed patients and positivity in the immunocompetent patients was statistically significant. In addition, a relationship was found between Demodex spp. and some clinical symptoms.Conclusion: Demodex spp. proceed a health problem in rosacea and immunosuppressed patients. It was concluded that Demodex spp. should definitely be considered in cases of facial sensitivity, facial rash, and facial flushing in both immunosuppressed and immunocompetent patients, especially in the presence of sunburn in immunosuppressed patients, which was revealed by this study.

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  • 1. Forton F. The pathogenic role of Demodex mites in rosacea: a potential therapeutic target already in erythematotelangiectatic Rosacea?. Dermatol Ther. 2020;10(6):1229-53.
  • 2. Aytekin S, Göktay F. Demodicosis. Turkiye Klinikleri J Dermatol-Special Topics. 2015;8(3):35-41.
  • 3. Gazi U, Ozkan AT, Mumcuoglu KY. Immune mechanisms in human and canine demodicosis: a review. Parasite Immunol. 2019;41(12):e12673.
  • 4. Lacey N, Russell‐Hallinan A, Zouboulis CC, Powell F. Demodex mites modulate sebocyte immune reaction: possible role in the pathogenesis of rosacea. Br J Dermatol. 2018;179(2):420-30.
  • 5. Rather PA, Hassan I. Human Demodex mite: the versatile mite of dermatological importance. Indian J Dermatol. 2014;59(1):60.
  • 6. Litwin D, Chen W, Dzika E, Korycińska J. Human permanent ectoparasites; recent advances on biology and clinical significance of Demodex mites: narrative review article. Iran J Parasitol. 2017;12(1),12.
  • 7. Foley R, Kelly P, Gatault S, Powell F. Demodex: a skin resident in man and his best friend. J Eur Acad Dermatol Venereol. 2021;35(1):62-72.
  • 8. Yazisiz H, Çekin Y, Koçlar FG. The presence of Demodex Mites in patients with dermatologic symptoms of the face. Turkiye Parazitol Derg. 2019;43(3):143-8.
  • 9. Aycan ÖM, Otlu GH, Karaman Ü, Daldal N, Artambay M. Frequency of Demodicosis in Various Patient and Age Groups. Turkiye Parazitol Derg. 2007;31:115-8.
  • 10. Özdemir MH, Aksoy U, Sönmez E, Akisu C, Yorulmaz C, Hilal A. Prevalence of Demodex in health personnel working in the autopsy room. Am J Forensic Med Pathol. 2005;26:18-23.
  • 11. Sönmez Ö, Yalçın ZG, Karakeçe E, Çiftçi İH, Erdem T. Associations between Demodex species infestation and various types of cancer. Acta Parasitol. 2013;58:551-5.
  • 12. Zhao YE, Guo N, Xun M, Xu JR, Wang M, Wang DL. Sociodemographic characteristics and risk factor analysis of Demodex infestation (Acari: Demodicidae). J Zhejiang Univ Sci B. 2011;12:998-1007.
  • 13. Karaman Ü, Kolören Z, Enginyurt Ö, Özer A. The epidemiology of Demodex mites at the college students living in dormitories in the city of Ordu. Turkiye Parazitol Derg. 2014;38:166-71.
  • 14. Durmaz S, Yula E, Aycan Kaya O, Aksoy Gokmen A, Kılınç C, Atambay M, et al. Sociodemographic characteristics of patients with Demodex brevis and Demodex folliculoruminfestation and its association with rosacea and Behçet’s disease. Biomed Res. 2015;26:549-55.
  • 15. Roihu T, Kariniemi AL. Demodex mites in acne rosacea. J Cutan Pathol. 1998;25:550-2. 16. Özdemir H, Özer E, Özdemir S, Alkanat M. The prevalance of Demodex species in faculty of health science students. Arch Turk Dermatol Venereol. 2015;49:139-41.
  • 17. Isa NH, Loong LW, Fang GH, Mohamad AM, Razali N, Rani NI, et al. Demodicosis among university medical students in Malaysia and the effects of facial cleanser and moisturizer usage. S Asian J Trop Med Public Health. 2011;42:1375-80.
  • 18. Zeytun E, Ölmez H. Demodex (Acari: Demodicidae) infestation in patients with KOAH, and the association with immunosuppression. Erzincan University Journal of Science and Technology. 2017;10(2):220-31.
  • 19. Türkmen D, Türkoğlu G. Demodex infestation in patients with rosacea. Turkiye Parazitol Derg. 2019;43(4):194-7.
  • 20. Chang YS, Huang YC. Role of Demodex mite infestation in rosacea: a systematic review and meta-analysis. J Am Acad Dermatol. 2017;77(3):441-7.
  • 21. Casas C, Paul C, Lahfa M, Livideanu B, Lejeune O, Alvarez‐Georges S, et al. Quantification of Demodex folliculorumby PCR in rosacea and its relationship to skin innate immune activation. Exp Dermatol. 2012;21(12):906-10.
  • 22. Cengiz ZT, Yilmaz H, Özkol HU, Ekici A, Ödemis N. The prevalence of Demodex sp. in patients admitted to the parasitology laboratory of the Dursun Odabas Medical Center in Yuzuncu Yıl University, Van. Turkish Journal of Parasitology. 2014;38(1):9.
  • 23. Koç AN, Utaş S, Şahin İ, Yılmaz A. The incidence of Demodex folliculorumin acne and comedonal dermatoses. Turkish Journal of Parasitology. 1996;20:71-4.
  • 24. Bikowski JB, Del Rosso JQ. Demodex dermatitis: a retrospective analysis of clinical diagnosis and successful treatment with topical crotamiton. J Clin Aesthet Dermatol. 2009;2(1):20.
  • 25. Ertuğ S, Tileklioğlu E, Yıldız İ, Malatyalı E, Ertabaklar H. The retrospective analysis of Demodex spp. results in Aydın Adnan Menderes University Faculty of Medicine Hospital Parasitology Laboratory. Turkish Journal of Parasitology. 2020;44(2):72.
  • 26. Elston, Dirk M. Demodex mites: facts and controversies. Clin Dermatol. 2010;28:502-4.
  • 27. Karincaoglu Y, Bayram N, Aycan O, Esrefoglu M. The clinical importance of Demodex folliculorum presenting with nonspecific facial signs and symptoms. J Dermatol. 2004;31:618-26.
  • 28. Orak F, Yıldırım D, Set A, Hasbek M. Investigation of Demodex spp. frequency among skin surface biopsy taken from patients. Ankem Derg. 2015;29:90-4.
  • 29. Forton F, Germaux MA, Brasseur T, De Liever A, Laporte M, Mathys C, et al. Demodicosis and rosacea: epidemiology and significance in Daily dermatologic practice. J Am Acad Dermatol. 2005;52:74-87.
  • 30. Türsen B, Türsen Ü. Ivermectin treatment in dermatology. Dermatoz 2015;6.
Middle Black Sea Journal of Health Science-Cover
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2015
  • Yayıncı: Ordu Üniversitesi
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