Skin diseases most often deliver a person only cosmetological discomfort. They rarely carry a serious threat to life. It is to such diseases applies demodicosis. Any parts of the body with sebaceous glands can be affected by this pathology. At the same time, the internal organs will not be affected by the infection. Despite the fact that for the life of demodicosis does not pose a threat, it should be treated immediately after detection.
The disease negatively affects the appearance of a person, as a result of which his self-esteem decreases. It begins to close on people, it becomes nervous and quick-tempered. To cope with the disease, you need to consult a doctor, confirm the diagnosis and receive the prescribed therapy.
What is demodicosis?
Demodecosis - This is a skin lesion with a microscopic mite. This tick is called Demodex. The demodex mite lives in the sebaceous glands, in the hair follicles, for this reason the places of its distribution are eyelids, face skin, area of the eyebrows, forehead, nasolabial folds and chin, external auditory canal. Places with abundant sebaceous excretions are most favorable for tick habitats. In the body of a healthy person, Demodex mites can also live - in the skin, feeding on dead cells. However, in order to penetrate into the deep layers, they need to wait for the weakening of immunity, after which they cause an inflammatory process.
Demodecosis in its manifestations is very similar to rosacea and acne. Very often, these diseases are combined, because common and rosacea suppress the natural protection of the skin.
About 97% of people suffer from this parasite. It was this percentage that was allocated to Chinese scientists during the study, in which more than a million people of different ages, nationalities, occupations and sectors of society took part. The study took an average of about fifty years.
By their naivete, people do not even think about such a neighborhood, although there is a malfunction in the body, and ticks “attack”.
Men suffer from demodicosis two times less often than women, and women with white, tender skin. The reason for the development of this disease may be: a failure of the endocrine and digestive systems, stress, reduced immunity, and the use of expensive cosmetics with hormonal or other biological additives. Peaceful life with a tick can disrupt the excessive use of black coffee, alcohol, spicy seasonings, prolonged stay at the computer, frequent visits to the bath or tanning beds.
If there was an opportunity to look into the hair follicles from which the hair grows, or into the glomeruli of the sebaceous glands located right there, then one would consider small, colorless, bristled "worms". This is exactly what mites from the Demodex family look like.
Tick is very easily detected in the laboratory, is carried out directly in the presence of the patient in the office. To do this, take 8 cilia from each eye - four from the upper eyelid, the same from the bottom. These cilia are placed on a glass slide, dripping an alkaline solution or a mixture of 1 ml of glycerol and 9 ml of saline. Next, cover with a veil and study the cilia under the microscope.
Who is the causative agent of demodicosis?
Demodecosis provokes tick. This microscopic organism is called Demodex Folliculorum / Breve (D. Folliculorum / brevis). The tick parasitizes the sebaceous glands of a person, in which there are favorable conditions for its reproduction. From animals, a person cannot become infected with a tick, it is transmitted only among a population of people. Ticks live on the skin of dogs and cats, but they cannot exist on the human body.
The mite has mobility sufficient for a microscopic organism. It can move at a speed of 13-18 mm / hour. It is not difficult for him to navigate the skin and conquer new "areas" of habitat. Moreover, ticks migrate all the time and in large quantities, but it is impossible to notice their movements without a microscope. Therefore, it is very easy to get demodecosis, it is enough to use household items of an infected person or to contact them closely. The tick will quickly find a sebaceous gland and master it. It will exist in it until the patient receives treatment.
The tick can settle on the eyelids, in the armpits, in the perineum, that is, in those areas of the dermis where there are sebaceous glands. Therefore, the characteristic symptoms of infection will appear in these places. The optimum temperature for the existence of a tick is 37-40 ° C. He actively increases his number in hot climates and in warm rooms. In such conditions, demodicosis is manifested especially intensely.
Who can get demodecosis?
Statistics show that by the age of 30 about 60% of the population is infected with tick. In this case, the symptoms of the disease will appear only in some individuals. The parasite is activated when the human immune system fails. Tick infestation does not lead to allergies or tissue damage if the body inhibits its activity.
In people whose immune system is weakened, or there is a genetic tendency to hypersensitive reactions, demodicosis will manifest characteristic symptoms.
At risk are the following categories of citizens:
People with immunodeficient pathologies, for example, diabetes, HIV, tuberculosis, cancer.
People whose close relatives are infected with ticks and suffer from pronounced symptoms of pathology.
People who are regularly exposed to stressful factors.
People prone to allergic reactions.
People working in harmful enterprises.
In such patients, demodicosis appears vividly.
The first signs of demodicosis
Acne, juvenile acne, rash, pink acne, pustules, ulcers, etc., appearing on the face may indicate the presence of demodicosis. In disrepair, these acne cover the back, chest and thighs,
red spots on the face,
very oily skin and enlarged pores. Areas affected by demodicosis look moist, greasy, have a characteristic luster. Particularly affected skin on the nose and cheeks,
skin of the face is bumpy. Inside the skin, a rough “scar” tissue and many small calcium lumps form, and this gives unhealthy complexion and hilly skin,
the nose grows in size, it happens quite strongly: the nose becomes like a big blue-red plum (rhinophyma),
crawling, tickling, and itching. Very often, people do not pay attention to tickling at all, and automatically scratch it. By evening, the itch gets worse and continues to disturb throughout the night. This indicates the most active life activity of ticks and the time of their mating.
scalp itching, hair loss occurs. Early baldness can also talk about the vigorous activity of the Demodex mite,
itchy eyelashes. The loss of eyelashes, too, is most often the result of the vital activity of mite demodekoza living in the roots of eyelashes. At the base, the eyelashes begin to itch, the eyelashes become thinner and fall out,
Symptoms of demodicosis
Virtually any part of the skin with the exception of the feet and palms may be susceptible to infection. Eyelid demodicosis can cause severe eye allergy, which intensifies the symptoms of a lesion. This disease is called ophthalmodemodecosis.
Risk factors that can lead to activation of the disease:
Temperature changes. Therefore, demodicosis often makes itself felt in the fall and spring.
The weakening of the immune forces of the body. This occurs as a result of the influence of stress factors, chronic diseases, hormonal steroid drugs, etc.
Violation of personal hygiene. At the same time, the sebaceous glands become blocked, which causes the active reproduction of the tick.
Alcohol abuse, smoking.
Symptoms appear primarily in those areas of the body where there is a large accumulation of parasites. Localization of ticks can be the body, the eyelids, and the eyes.
Occlusion of the sebaceous gland cannot occur asymptomatically. Often, signs of demodicosis appear on the face, on the back, and in the armpits (or popliteal fossae). In these areas of the body accumulates the maximum number of parasites.
Redness of the affected area
In the gland lard stagnates, and mites provoke an inflammatory reaction.
The seal on the skin appears due to the fact that neutrophils (immunity cells) arrive at the site of inflammation.
In the area inhabited by the mite, red spots appear that have an irregular shape. The more active the pathological process, the larger the spots will be. As they merge, one large spot forms.
The seal is in the area of inflammation and can be palpated.
Itching increases when in warm rooms, in heat, and if hygiene rules are not followed. On an ongoing basis, he does not bother the person.
The appearance of nodules or bubbles
The output of the sebaceous gland is blocked by parasites, so there will be no room for fat. It accumulates in the duct of the gland, which forms a bubble.
Nodules are dense formations that are small in size. They slightly rise above the surface of the dermis.
The bubbles look the same as the nodules, but in terms of their consistency they are denser and more elastic. Their skin is visible through the skin, which can be transparent or yellow. Less commonly, these nodules have a reddish color.
Chronic inflammation leads to the fact that the horny scales of the dermis begin to peel off faster.
There are many scales, their size is 1-2 mm. Some of them stick to the skin, others fall off when scratching.
After a person has the first symptoms of demodicosis, it becomes dangerous for other people. A tick is transmitted even with a normal touch. However, the presence of a parasite in the sebaceous gland does not always lead to the development of the disease. In order for its symptoms to appear, provocative factors must act on the body.
Symptoms of Meibomian gland blockage
The blockage of meibomian glands with parasites is called blepharitis.
Symptoms of blepharitis on the background of demodicosis are:
Consolidation of the century and the formation of a crust on it. If you try to remove it, the person will have pain.
The appearance on the eyelashes white growths, the so-called "clutches". They are represented by peeling skin.
If the tick accumulates in large quantities in the upper part of the face, the probability of damage to the organs of vision increases. Although it does not threaten serious consequences, it does give a person some discomfort.
Damage to the eyes (ophthalmodemodecosis)
Ticks have the ability not only to block the sebaceous ducts, but also to provoke allergies. Most often, it occurs locally, without leading to such severe pathologies as angioedema or urticaria. However, tissues located near the source of infection may suffer. For this reason, ophthalmodemodecosis develops in humans.
Symptoms of the disorder appear a few weeks after the development of blepharitis or cutaneous demodicosis. By this time, the body produces antibodies that are responsible for the development of allergies.
Symptoms from the eyes will be as follows:
Red eyes, proliferation of the capillary network on the conjunctiva.
Increased eye fatigue, feeling of sand being poured into them.
Itchy eyes. To reduce discomfort, people often rub them with their hands, but this does not bring any noticeable relief.
Swelling of the eyelids, their severity. After sleeping it is difficult for the patient to open his eyes wide. The appearance of the eyes changes.
Excessive dryness of the conjunctiva.
To get rid of the symptoms, you need treatment. Its timely start allows you to completely cope with the existing problem.
Diagnosis of demodicosis
To confirm the diagnosis, you will need to donate blood for a general analysis, as well as skin particles for examination under a microscope. Other diagnostic methods are not advisable; they will not provide additional information.
Changes in the blood picture with demodicosis:
For women, the option of the norm is ESR up to 16 mm / sec, and for men - up to 11 mm / sec.
Increase by 1-2 points
To confirm the diagnosis, microscopic examination of tissues or other materials is required. The tick can be found in the contents of the vesicles, in the skin, in the horny scales, in the fat secreted from the glands or in the eyelashes.
To identify the tick, the collected material is treated with gasoline, glycerin or cyanoacrylate. This makes it possible to detect ticks. The diagnosis takes 1-2 days.
To cope with demodicosis, you need to make adjustments in lifestyle. Without this treatment will be ineffective. Symptoms will periodically remind you of yourself.
Recommendations for patients with demodicosis:
Enhance immunity. For this, it is necessary to eliminate the factors that negatively affect the body's defenses: stress, overwork, chronic diseases, etc. Sometimes it happens that it is impossible to get rid of them completely, for example, when it comes to severe chronic pathologies (HIV, sugar diabetes, cancers). In such situations, you need to consult a doctor. The doctor will prescribe a treatment that will allow to achieve stable remission.
Hygiene rules. Bleeding sebaceous glands can cosmetics, dust, and so on. Therefore, you should regularly take care of your skin, use gels, masks, skins, tonics, etc.
To give up bad habits, from drinking alcohol and smoking.
Do not visit places where the air temperature is too high, such as saunas, baths.
To cope with the symptoms of demodicosis, you need to use drugs. Acaricides kill ticks, antiseptics disinfect the skin surface, and vitamin A contributes to its regeneration. If eye inflammation develops, you need to use special drops and ointments.
How drugs work
Acaricides - Benzyl benzoate, Trichopol, Sulfuric ointment, Metrogil jelly
Preparations are destructive for parasites, they destroy adults, but eggs remain viable.
Antiseptics - Azerbin, Argosulfan, Betadine, Hexicon
Preparations clean the skin from pathogenic flora. They are used to prevent secondary infection.
Vitamin A, which is applied topically - Retinol, Aknetin, Roaccutane
These drugs lead to normal metabolic processes in the skin.
Drops - Vitabact, Okomistin, Pikloksidin
Antiseptics disinfect the treatment area and prevent the disease from spreading.
Antiseptic ointments - Calendula, Glycoderm, Metrogil jelly
Acaricides that are similar to those used in the treatment of skin demodicosis
Drugs kill ticks
Preparations for the relief of the inflammatory reaction - Tobrazon, Tobradex, DexTobropt
They reduce the negative manifestations of the organs of vision.
Allergy preparations - Loratadine, Clemastine, Desloratadine, Azelastine.
Stop allergic reaction.
All of these funds to patients with demodicosis most often do not prescribe. The doctor selects drugs depending on the severity of the disease and its specific manifestations.
How to get rid of demodicosis in 4 days?
It is believed that the treatment of demodicosis takes 1-2 months. In 2014, scientists from Orenburg developed a new exposure scheme, which allows getting rid of the disease in 4 days. Therapy was confirmed in a practical way.
Demodecosis treatment regimen:
For the destruction of ticks using ointment Benzylbenzoate concentration of 10%.
For relief of inflammation and symptoms of the disease apply cream Uniderm.
To eliminate skin peeling, use Emolium Cream.
All these drugs are applied to the affected tissue, maintaining an interval of 20 minutes. They must be used in the order in which they are listed. To avoid a recurrence of the disease, the course should be repeated after 14-18 days.
The proposed scheme can be practiced in the event that the bacterial infection does not occur (the use of antimicrobial agents is required).
The forecast is always favorable. Persistent changes in the dermis with demodicosis are not observed. To cope with parasites, you need to strictly follow the medical recommendations.
Education: Moscow Medical Institute. I. M. Sechenov, specialty - “Medicine” in 1991, in 1993 “Occupational diseases”, in 1996 “Therapy”.
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What is a demodicosis
The described disease is characterized by the defeat of the skin by a special type of mite - Demodex. The sebaceous glands and hair follicles are home to this parasite. And this means that signs of demodicosis can be found in the face, in the ears, on the eyelids, in the nasolabial folds, on the eyebrows, and so on. The named parasite chooses for itself those places in which the sebaceous glands work as actively as possible.
If the human immune system is in excellent condition, then the tick can be directly in the upper layers of the skin, feeding on dead cells. But as soon as the body's defenses are weakened, the tick penetrates deep into, and then you can see the first signs of demodicosis.
In fact, more than seventy percent of the world's population are carriers of this parasite. In this case, women with delicate fair skin are affected much more often than the representatives of the stronger sex.
Especially good signs of demodicosis can be seen if you look at the hair follicle under a microscope. There you will notice just an incredibly huge cluster of colorless ticks that have already managed to attack your body.
As mentioned above, more than seventy percent of people are carriers of this disease. However, some of them do not even realize that they have such a disease, while others no longer know what to do to eliminate the signs of demodicosis on the face. Of course, the reason for the sharp deterioration is the fact of active reproduction of parasites. This can happen if the human body is under stress, as well as a significant deterioration of the immune system.
If the disease has begun to actively progress, then in each hair follicle more than ten representatives of demodex can be found. Consider the main causes leading to the appearance of signs of demodicosis on the face:
- prolonged presence in the nervous tension, as well as constant experience of stress,
- non-compliance with the food regime and the use of an excessively large amount of spicy and fatty foods,
- a provoking factor is a visit to tanning salons, saunas and baths,
- excessive abuse of cosmetic products with a highly fatty and oily base.
All of the above factors contribute to the intensification of the enhanced work of the sebaceous glands, which in turn contributes to the appearance of signs of demodicosis in humans. Skin with high fat content is an excellent habitat and reproduction of mites.
A very frequent cause of the pathology is a malfunction of the immune system. Even the most common cold can spur active tick activity. Also, a disruption of metabolic processes in the body can provoke an illness. This is especially true of the fair sex, using methods of hormonal contraception.
By the way, for a person infected with a tick, daily use of cosmetics from the same package will contribute to permanent self-infection. To avoid this, doctors advise to pick up drugs placed in a tube, and not in a jar. So the risk of permanent self-infection will be minimal.
As practice shows, it is not very difficult to get rid of the signs of demodicosis for a person, especially if the disease is at an early stage. But if a different bacterial infection joins the tick, the treatment process will be longer and more tedious.
The most common signs and symptoms of demodicosis can be found in people with oily, sensitive and loose skin. In women, as we have said, the disease is much more common, as women use a large number of different cosmetics.
Signs and symptoms of demodicosis
In fact, it is not very difficult to recognize pathology. After all, it is characterized by certain symptoms. Consider, by what signs it can be understood that such an undesirable resident has settled in your skin and hair follicles:
- The presence on the face of various pimples, acne and ulcers. The more the disease begins to progress, the more it affects the skin. Gradually, the rash can also go to the neck, back and chest.
- The skin becomes incredibly oily and the pores are enlarged. The greatest fat content can be seen on the nose, forehead, and chin.
- The skin becomes bumpy. A special tissue begins to form under them, which gives the skin an unhealthy and unkempt appearance.
- If the disease is severely neglected, the nose may begin to change its shape and increase in size. Sometimes the skin on it gets a bluish tint.
- A clear sign of demodicosis in the ears and on the face is the feeling of a slight itch. However, most people do not pay absolutely no attention to this feature, and simply automatically scratch one or another part of the body. Most often, this symptom is greatly enhanced at night. This suggests that ticks begin their activity and mate.
- Severe itching is also observed in the hair of the head. In this case, the disease may be accompanied by significant hair loss.
- The same applies to the eyelashes. A person feels a strong burning sensation at their roots, which indicates the active activity of Demodex. A clear sign of demodicosis of the eyelids is the loss of eyelashes.
As you can see, there is simply a huge number of signs that indicate the presence of a tick in your body. If you notice at least one of them, consult a dermatologist for a diagnosis, and begin timely treatment.
Signs of eye demodecosis
Most often, the described disease affects only the skin on the face, but sometimes it goes to the eyelids. This form of pathology is considered the most severe and is characterized by special symptoms. Usually, people are not aware of such manifestations of the disease and do not even realize that Demodex has taken over the work.
Consider, what are the main symptoms of eye demodicosis in humans:
- The appearance of severe redness, inflammation and swelling of the eyelids.
- In some cases, white-yellow discharge from the eyes, which are foamy in nature.
- At the base of the eyelashes appear small white scales, and the eyelashes themselves begin to fall rapidly.
- The patient feels a constant burning sensation, therefore he combs the eyelid very strongly. As a result, his situation is even more complicated. He may also have the feeling of having a foreign object in the eye.
- Signs of demodecosis of the organs of vision in humans also include the frequent occurrence of barley and other diseases, such as conjunctivitis, blepharitis, and many others.
- In some patients, significant visual impairment was observed.
Stage of the disease
The symptoms of this disease primarily depend on the number of ticks, as well as on the speed of their reproduction. The very first and foremost sign of the presence of the described pathology is acne, not only on the face, but also on the skin of the eyelids and throughout the body.
There are several forms of the disease, which are characterized by the type of rash. Consider the main stages and forms of demodicosis.
This type of pathology is manifested by the appearance of erythema in certain areas of the skin. Most often, these rashes can be found on the nose and cheeks. At the same time, they are characterized by clear boundaries and slightly raised edges.
This form of demodicosis is very similar to rosacea, so for its differentiation it is necessary to take comprehensive diagnostic measures.
Papular-pustular type of disease
The next type of demodicosis is characterized by the occurrence of papules and pustules. Such phenomena occur when the sebaceous ducts are simply overfilled with fat, and they become blocked with mites. In this case, the pustules can become quite impressive in size and turn red and burgundy.
Is it possible the development of complications
If you do not proceed to the timely treatment of demodicosis, you may experience serious complications. Moreover, if you remove acne at home on your own, you can only aggravate your situation, because the purulent infection will begin to spread rapidly, and besides, there is simply a huge risk of other infections as well. Just imagine what can happen to your skin, with an independent mechanical extrusion of acne.
Consider the consequences of this disease:
- Demodecosis, the symptoms whose treatment and symptoms are described in this article, can lead to the emergence of very advanced forms of acne, which will lead to the development of scars and scars.
- Severe chronic inflammatory processes (rosacea) can develop on the skin (especially on the face).
- Since the disease is accompanied by excessive sebum secretion, this can lead to the occurrence of many other pathologies, such as seborrheic and perioral dermatitis.
- A complication of the disease is also considered eye damage. This is hard to believe, but small parasites can lead to blindness if a person does not start treatment in time.
If the pathology was detected in the early stages, and the patient proceeded to treatment in a timely manner, then complications can be avoided.
Demodecosis in dogs
Not only people are faced with such an unpleasant disease. Quite often, the Demodex mite settles in various mammals. However, most often the parasite prefers dogs.
Signs of demodicosis in a pug, as well as in other breeds of dogs is easy to notice. The main thing - carefully examine your animal. And we will tell you what symptoms can determine the presence of a tick in a dog:
- Pathological hair loss. At the same time, this process begins with a small area of skin, after which it spreads throughout the body.
- Animals form skin scales, scabs, rashes, acne and some nodules.
If the disease has a localized form, it does not pose a particular threat to the animal. In this case, there are no large lesions on the pet’s body, and the ailment does not spread throughout the body. According to veterinarians, in this case there is no need to resort to the use of antibiotics or other serious medicines, as the illness can disappear by itself. The main thing - be patient.
But generalized demodicosis affects the large surface of the skin. In this case, such a disease is most often inherited by the offspring. For its elimination it is very important to take urgent medical measures.
How is the diagnosis
The first signs of demodicosis on the face are easy to notice. The main thing - to contact a dermatologist for diagnosis. To identify the parasite, the doctor will take a scraping of epithelial tissue in the place where the skin lesion was observed. At the same time, the difficulty lies in the fact that before carrying out such an analysis the patient should not wash for several days, as well as use cosmetics.
According to statistics, during the first analysis it is not always possible to detect adult mites and its larvae on the skin. Therefore, to establish accurate results, it is recommended to pass it several times.
The doctor will determine the presence of pathology in the event that on the skin with an area of 1 cm², at least five adult ticks were found. In this case, you will have to start treatment immediately.
Features of local drug exposure
Sometimes photos of signs of demodicosis are really amazing, because the patient's skin can change beyond recognition, and it will be very difficult, and sometimes impossible, to return them to their previous appearance. In many ways, everything will depend on the actions of the patient.
Topical medications are usually used in courses with short breaks. Thus, the light stage of pathology can be completely eliminated in one to two months. But if the disease has already begun to actively progress, then the treatment may take you more than one year.
Most often for therapy, doctors recommend their patients to use various ointments for external use. So, drugs that have in their composition zinc, sulfur, and mercury or tar have an excellent therapeutic effect. Means based on these components are able to stop the activity of ticks.
The drugs most commonly prescribed include the following:
Each of the listed medications is very effective. However, it is worth remembering that only an experienced dermatologist can prescribe treatment, taking into account the individual characteristics of each patient's body.
If pathologists began to spread to the eyes, then additional treatment should be prescribed. It is very important to use special eye drops. Such preparations as “Armin”, “Tosmilen” and “Physostigmine” showed their best side. And in order to restore the growth of hair, eyebrows and eyelashes, it is recommended to rub burdock oil into the skin.
First of all, in the presence of demodicosis, the specialist should prescribe a systematic therapy course for his patient. With this disease, it is very important to adjust the activity of the immune system. To do this, it is necessary to normalize the diet, include sports, as well as train your body to hardening. An additional measure may be the use of immunomodulators. They can be both natural and synthetic.
It is also recommended that the patient drink a course of vitamins and microelements. It is especially important to take such a measure to those people who constantly suffer from seasonal colds.
If necessary, doctors recommend treatment with antiparasitic agents. Good results can be achieved by taking Ornidazole and Metronidazole. However, keep in mind that such drugs have a sufficiently strong effect on the body, so before using them you need to make sure that they really suit you.
We have listed to you which clinical signs of demodicosis are observed most often. But before you begin to treat any disease, you need to correctly diagnose it. Therefore, if you have the first symptoms of demodicosis, go to a dermatologist to confirm or refute your doubts.
By the way, during the course of treatment, doctors recommend adhering to additional skin care procedures. So, it is necessary to abandon washing with water with chemical cleansers. It is better to replace the usual procedure of washing with the use of decoctions of chamomile, sage or calendula. Once a day, use a soap on the basis of tar. Discard fatty oil based creams.If necessary, replace them with lighter gel formulations. During the course of treatment is not recommended to perform any cosmetic procedures, including a trip to the solarium.
To prevent tick infestation, be sure to follow personal hygiene. Do wet cleaning and washing at home as often as possible. Wash items recommended ironing.
Pay attention to your food. Eliminate from the diet of sweet, fatty, fried and spicy foods. Be sure to include in the diet of meat, vegetables, fruits, cereals and vegetable oils.
Do not start any fungal or viral diseases. Always proceed to their timely treatment. In this case, be sure to monitor the state of the immune system, and then the demodex simply will not be able to exist normally in your body.
Only you are responsible for your health, so start doing it right away. If you notice even the slightest signs of demodicosis, immediately go to a dermatologist. Quickly started treatment will save you from many unpleasant consequences.
Start a good lifestyle, eat well, avoid stress, watch the immune system, and you can save yourself from many dangerous and unpleasant diseases. Take care of yourself and you will be free from many health problems.
The disease has not only a purely medical name (scientific), but also others, like “rosaceo” or “rosacea”. All names characterize the disease, which in appearance resembles clusters of acne, pink hue. The affected skin is clearly visible. By them it is possible to determine that the places have both reddening and thickening of the epidermis layer, through which the smallest blood vessels can be seen. They are also called "temangiectasias", as evidenced by the photo.
As a rule, demodicosis affects the skin of the face, while women suffer between the ages of 30 and 50 much more often than men. Much less often other parts of the body are affected, such as the chest, back, neck, etc. In this case, it all depends on how actively the disease spreads.
Interesting fact! Residents of Ireland and the southern regions of Italy quite often suffer from "rosacea", compared with the population of the African continent and China, for whom such a disease is a great rarity.
Manifestations of demodicosis in various parts of the body
The eyelids and eyes are often affected by a similar disease, as the reproduction of ticks occurs in the meibomian glands, which are located at the base of the eyelashes. When tightening the treatment, loss of eyelashes is possible, as well as an increase in the margins of the eyelids, which leads to difficulties when closing the eyelids.
Interesting fact! With the defeat of the eyelids, in many cases, there is demodecosis of the hair part of the head, as well as on the face, which causes chronic conjunctivitis, abnormal growth of eyelashes and other pathologies.
Demodecosis of the scalp appears due to favorable conditions. It is not easy to identify, because the negative processes are hidden under the human hair and visually occur unnoticed. At the same time, in the evening and at night there is a strong itching, and as a result of palpation of the scalp, the appeared consolidation of the skin is felt.
As a result of the active reproduction of parasites, the disease spreads to areas of the body such as the neck, chest, back, or arms. The lesions of these areas of the body are accompanied by sensations of itching, tightening of the skin and burning. In fact, this is a rare phenomenon, since the structure and functioning of the sebaceous glands are somewhat different in such areas, so ticks feel not very comfortable here, but because of the large number they simply have no place to go.
Methods for the treatment of demodicosis in humans
Nowadays, you can rely on effective treatment, due to the presence of various effective drugs. If the diagnosis is confirmed, the dermatologist determines the treatment regimen, which includes some steps, such as:
- The stage of using components of local action, such as ointments, creams, sprays, etc.
- The stage of application of drugs that improve the body's resistance.
- The stage of purification of the gastrointestinal tract and the whole body of the patient from the signs of vital activity of parasites.
- The stage of the use of antibiotics and antiparasitic agents that destroy ticks. Some drugs should not be used by expectant mothers and lactating women, people suffering from kidney disease, etc.
- The stage of using drugs that relieve allergic manifestations.
- The stage of using antiseptics to protect the skin from other parasitic infections.
Treatment of demodicosis involves the use of systemic drugs, such as:
- Immunomodulatory drugs.
- Sodium thiosulfate, to destroy ticks and to reduce inflammatory processes.
- Vitamin complexes, amino acids and minerals, which increases the body's resistance.
An important point! Treatment of the skin is carried out in several stages. Depending on the extent of the lesion, the treatment can take up to a year. The most effective have ointments and creams, which include components with inclusions of zinc, mercury, tar, sulfur, etc. They do not allow oxygen to the lesion, which leads to asphyxiation of ticks and their death.
Effective medications include:
- Sulfur Ointment.
- Ichthyol ointment.
- Yellow mercury ointment.
- Ointment based on metronidazole.
- Cream "Benzyl benzoate", which destroys parasites.
- Spregal aerosol, which causes the death of adults and their eggs.
- Cosmetic product "Demalan", which reduces the level of inflammatory processes and improves the processes of regeneration and metabolism in the affected areas of the skin.
- Substance "Crotamiton", which is used after taking a shower. Helps relieve itching and reduce inflammation, and also destroys adult individuals.
- Cosmetic gel "Stop Demodex", helps to reduce itching, localize swelling and inflammation in the eye and eyelids. In addition, it helps to get rid of ticks.
Excretion of toxins
Cleansing the body is an important step in the fight against demodicosis. In the course of treatment it is necessary to exclude flour, sweet, fatty, smoked and fried foods from the diet. During this period, it is better to consume more fruits and vegetables, cereals, drink enough liquid (up to 2 liters per day), which will optimize the functioning of the body and create uncomfortable conditions for the parasites to live.
Interesting to know! Purification of the body and gastrointestinal tract is carried out with the help of absorbent drugs, such as "Activated carbon", "Smekta", "Enterosgel", "Polysorb" and others. They will help get rid of those substances in the body that are left behind by parasites.
Prevention of demodicosis
In order to get rid of this ailment as soon as possible, and also to consider that there is no recurrence of the disease, it is necessary to adhere to a number of rules and recommendations. For example:
- Control that personal hygiene items are always clean, including bed linen, which must be changed daily. Wash things only at high temperatures followed by ironing with a hot iron.
- For the period of treatment, it is advisable not to practice the use of cosmetics, to refuse to visit a bath and sauna, as well as a tanning bed or just sunbathing in the sun.
- In order to prevent re-infection of problem areas, it is better to carry out medical and cosmetic procedures after a certain time upon the recommendation of a doctor.
- Laser therapy will not interfere as a preventive measure, which will optimize metabolic processes in the epidermis within the problem areas.
- Adhere to proper nutrition to reduce the fat content of the skin, as well as improve the overall tone of the body.
As a rule, the treatment of demodicosis is a long process, including a complex of medical and preventive measures. The earlier the lesion of the subcutaneous membrane is identified by a tick, the less time and money will be spent on treatment. The main thing is not to self-medicate and not to rely only on popular methods of struggle, which are more focused on preventing the onset of demodicosis. As a rule, it is possible to completely get rid of ticks, exclusively with chemical preparations. If the disease is only muffled, but not completely rid of it, then the treatment will indeed be long.
Demodicosis - Symptoms, Treatment and Prevention
Despite the fact that we live in the days of technology, when many operations are performed with the help of punctures, and in order to take a blood test, the laboratory technician does not even need a syringe, it is still impossible to completely eliminate the risk of infection with parasites. One of the pathologies caused by them is demodicosis.
So, let's figure out what is demodicosis? According to the data of the medical encyclopedia, this disease belongs to the category of acariasis, that is, provoked by ticks, directly caused by the reproduction of the acne iron-bearing plant and its further parasitism. From Latin, the name of the tick is translated as Demodex, which gave the name to the disease. With the defeat of the skin areas, the parasite, as a rule, “settles” in the ducts of the meibomian and sebaceous glands, as well as on the roots of ciliated eye follicles. As an independent form of pathology, demodicosis is not allocated by a majority of doctors to a separate disease. This is explained by the fact that demodex is present in the body of each of us, however, the negative effect begins to manifest itself only when the visual organs are severely damaged or hygiene is regularly violated. You probably will be surprised that demodicosis, or more precisely, demodex mites provoking its development, can be very useful for the human body. The fact is that this species of mites feeds on the decay products of the upper layers of the epidermis, thereby helping to remove slags and various decay products. However, with a failure in the immune system and other negative factors, they are able to manifest themselves completely differently and become a serious problem for many people.
How dangerous is demodecosis?
Does the disease pose a serious danger to a person or, having heard this diagnosis, do not worry? Here we immediately want to reassure you - demodicosis is a disease that has been well studied by ophthalmologists for a long time and can be cured with simple but very effective means. You should not be afraid if during everyday contact the parasite chooses for itself a “new victim”, for example, someone among your relatives. It is worth remembering that today there are much more dangerous eye diseases than presented by demodecosis, and therefore, if you have heard such a diagnosis from your doctor, do not panic, as it is perfectly treatable in both adults and children. The only thing is that it is important to understand that the conservative therapies offered by modern oculists can only eliminate the external symptoms of this disease. It is impossible to completely rid of this tick, since it is necessary for our body to perform certain functions.
With timely diagnosis and proper treatment, the disease does not leave behind any traces, for example, falling eyelashes or scars on the skin of the eyelids. The only trouble is considered to be the high risk of recurrence, that is, that the disease can occur again. As a rule, for most people this does not happen, because, having received proper experience in the treatment of demodicosis, they understand what may cause its further development, they try to observe basic hygiene rules and closely monitor their immunity.
Modern methods of treatment of demodicosis
Despite the fact that demodicosis is quite easy to diagnose, and further treatment does not usually cause any special problems, the healing process can be quite long - up to six months. The first thing to do when starting therapy is to stop the infectious canal, in other words, normalize the protective functions of the epidermis. If, at the same time, metabolic or hormonal processes in the body proceed with disturbances, it is necessary to direct forces to their recovery.
Therapy for this pathology must be complex, and therefore the attending physician must first collect a detailed history, based on which he can choose the most appropriate treatment option. As a rule, the following therapy is prescribed by a specialist:
- reception of immunomodulators and various vitamin and mineral complexes,
- the appointment of drugs that normalize the work of the gastrointestinal tract,
- taking anthelmintic drugs with a wide spectrum of action for at least two weeks,
- administering antihistamine medicines to reduce swelling and irritation,
- regular treatment of the affected skin with medical compositions,
- use special ointments or eye drops.
Remember that the most important thing in the treatment of demodicosis, as well as of any other disease, is to timely and accurately carry out the recommendations given to you by your doctor.
What drugs are used in the treatment of demodicosis?
In order to save the patient from this disease as soon as possible, ophthalmologists prescribe a lot of drugs. One of the most popular among them is "Blefarogel", developed on the basis of sulfur, which perfectly copes with the elimination of ticks and other parasites, "exciting" ducts of the sebaceous glands. The composition of the drug also includes hyaluronic acid, which contributes to the speedy healing of damaged tissue cells and increases the level of immune protection. In addition to Blefarogel, experts often prescribe the following drops:
This is not a complete list of existing drops that can be prescribed in the treatment of demodicosis. Quite often for these purposes are used and medical ointment. Their use is considered necessary in cases where the disease can be considered neglected, for example, when a rash appears on the face or the bulbs have suffered no longer than eyelashes, but hair. The most common ointments that are most often prescribed by specialists for this disease are:
Remember that in each case the method of treatment is chosen individually, and therefore do not ignore the visit to the ophthalmologist and make an appointment with him at the first sensations of discomfort.
What contributes to the treatment of demodicosis?
Today, some people deliberately refuse therapy with drugs, giving their preference to folk remedies. We would not recommend these methods of treatment to you, because only a qualified specialist, after conducting the necessary examination, is able to prescribe those drugs that have been repeatedly tested by various services and are absolutely safe. However, we still would like to give some tips. They concern, first of all, nutrition. No wonder they say "man is what he eats." For example, it is recommended to exclude from the diet foods that dilate blood vessels, as they contribute to the flow of blood to the face. Do not often use coffee, especially with sugar, cook better without spices and spices. By the way, salt is also better not to abuse. During the course of treatment, it is worth refusing from spicy, fried, fatty and smoked dishes, limit the use of citrus, carbonated drinks, as they can provoke an allergic reaction.
What is eyebrow demodicosis?
If the disease is not cured in a timely manner, then it can turn into a more serious form. The tick can start affecting not only the visual organs, eyelashes and eyelids, but also move to the eyebrows of the forehead, hair and neck. Ophthalmologists call this phenomenon eyebrow demodicosis. With it, skin lesions begin on the nose, cheeks and chin. Gradually, Demodex affects the eyebrows and scalp.One of the main differences of this type of disease is that it is accompanied by desquamation, dandruff, small, inconspicuous wounds in the area of the hair part of the head, as well as rapid hair loss.
If the ophthalmologist suspects that the patient suffers from this particular disease, then he must take a scraping from the eyebrows. Further, by examining them under a microscope, a specialist will be able to see the tick provoking this disease. Treatment as the prevention of conventional demodecosis and eyebrow demodicosis are not much different from each other. Rather, this difference is due precisely to the characteristics of the patient's body, for example, the presence in him of certain diseases that do not allow the use of a particular drug. If the damage is also noted in the scalp, then a specialist can prescribe additional advice from a trichologist who will help get rid of the tick and the associated hair loss.
What is demodicosis skin disease (rosacea, rosacea)
Demodecosis - a disease of human skin and mammals associated with damage to the ducts of the sebaceous and meibomian glands by a parasitic tick in them - acne glandstone ( Demodex folliculorum and Demodex brevis ). Foci of pathology often localized on the skin of the face and lead to severe cosmetic defects.
The term "demodicosis" is synonymous with rosacea and "rosacea." Externally, the disease really resembles acne, since in both cases the sebaceous glands are affected. However, the mechanism of development of demodicosis is fundamentally different from the pathogenesis of acne vulgaris.
"Rosacea" in translation means "like a rose." The name indicates the characteristic disfigurement of the patient’s face areas when telangiectasias (dilated small vessels) appear on the thickened, hyperemic (reddened) skin.
Mostly women of 30-50 years are ill (the peak of the incidence falls on the age of forty). Irish and natives of southern Italy are especially predisposed to the development of this pathology, while Africans and Chinese, on the contrary, suffer from demodecosis extremely rarely.
Demodecosis under a microscope (pictures)
Fig. one. Parasitism of subcutaneous mites Demodex folliculorum and Demodex brevis on human skin.
The causative agents of demodicosis belong to the genus Demodex, which unites many types of ticks that parasitize hair follicles (sacs surrounding the hair roots) of mammals.
In humans, there are two types of ticks from the genus Demodex - Demodex folliculorum and Demodex brevis, which are often called ciliary mites. This name is associated with frequent damage to the eyelash follicle parasites.
According to the name (brevis - short) Demodex brevis is shorter than Demodex folliculorum and lives in the sebaceous glands, while Demodex folliculorum, in accordance with the name, prefers hair follicles.
Both types of ticks are found mainly on the front of the head, especially around the nose, eyelashes and eyebrows. However, in a smaller number of these subcutaneous parasites can be found anywhere on the skin.
Adults are small (their length is calculated in tenths of a millimeter), so that they can be considered only with a microscope. In parasites, an elongated translucent body consisting of two fused parts. On the front there are eight short legs, with the help of which ticks can move quite quickly (up to 16 mm / hour).
Subcutaneous mites are well adapted to parasitism, their body is covered with special scales that allow them to be fixed in the hair follicle, and the mouth apparatus has a shaped shape - it is more convenient to eat the skin cells and the secret of the sebaceous glands.
The life cycle of Demodex mites is short — only a few weeks. Females of subcutaneous ticks, which are somewhat smaller and shorter than males, lay 20–25 fertilized eggs into the cavity of the hair follicle. After 3-4 days, small six-legged larvae hatch from the eggs, which after a week turn into adult individuals and begin reproduction.
The life of parasites passes mainly under the skin, here they are born, feed and die. On the surface of the skin cover, Demodex mites crawl out for mating and relocation to other follicles. Subcutaneous parasites are afraid of light, therefore reproduction and settlement occurs mainly at night.
Subcutaneous tick causing demodicosis (photo)
Fig. 2 Subcutaneous mite Demodex folliculorum
Fig. 3 Subcutaneous mite Demodex brevis
Can I get demodecosis from animals? Is demodecosis in humans dangerous for dogs and cats?
Demodecosis in cats cause two types of parasites - Demodex cati and Demodex gatoi . They are also species specific. That is, the "cat" tick parasitizes exclusively on the cat, and does not pose a danger to humans.
Of course, sick animals should be treated, but it must be borne in mind that they are infectious exclusively for their species.
How is demodicosis transmitted
It is believed that infection with ticks that cause demodicosis occurs through close contact with a tick carrier (sick or healthy), when hair, eyebrows and sebaceous glands come in contact.
Subcutaneous parasites of the genus Demodex are not adapted to life outside the human body. However, as the results of research show, they are capable of maintaining vitality in the external environment for a long time.
So, for example, Demodex are capable of surviving in water at a temperature of 15 degrees above zero for up to 25 days, on dead skin particles at room temperature - up to 20 days. It is questionable whether ticks surviving in such conditions retain the ability to infect a healthy person.
Is demodecosis contagious in humans or not? In what cases does ticks of the genus Demodex cause dermal demodicosis?
The tick causing demodicosis is transmitted from person to person, so it can be said that demodecosis refers to infectious diseases. However, it should be noted that the mites of the genus Demodex are conditionally pathogenic parasites, that is, they are capable of causing clinical signs of the disease only under certain conditions.
Indeed, as studies have shown, about a third of children are infected with Demodex ticks, half of people of mature age and two thirds of old people, meanwhile, demodecosis manifested by clinical symptoms does not have such wide distribution.
The following factors are believed to contribute to the development of demodicosis:
- genetic predisposition
- diseases of the gastrointestinal tract,
- endocrine disorders (diabetes, hormonal imbalance, etc.),
- immune system dysfunction.
The following negative external influences can provoke the development of the disease:
- severe nervous or physical stress
- long stay in the sun
- occupational hazards associated with exposure to high or, rarely, low temperatures (work at the stove, work in the winter in the wind),
- use of hormonal medical and / or cosmetic preparations,
- the use of cosmetics (sometimes quite expensive) that cause allergic reactions and / or promote the reproduction of subcutaneous mites,
- abuse of alcohol, hot and spicy dishes, causing blood rush to the face.
Demodecosis skin disease has a so-called prodromal period (literally "the state preceding the onset of the disease"), which is characterized by the appearance of so-called "hot flashes".
Patients complain about the occasional sensation of heat, which is accompanied by vasodilation of the skin of the face and is visually manifested by reddening of the skin in the form of a painful blush.
In the prodromal period, hot flashes are associated with the effects of provoking factors, which, however, do not cause such a reaction in healthy people (small doses of alcohol, slight agitation, small portions of spicy or / and hot food).
This period, in fact, signals the presence of a serious predisposition to the development of the disease. It is at the prodromal stage of development of pathology that a kind of vascular neurosis is formed.
Characteristically, the blush that is formed has fairly clear boundaries that often resemble flames or rose petals (another explanation for the name of the pathology - rosacea).
Stages of demodicosis
Demodecosis refers to diseases that occur with severe staging. In total, there are three stages of pathology:
2. Papular pustular.
The erythematous stage is characterized by the appearance of an unstable facial erythema (reddening of the skin), which, however, unlike the prodromal period, occurs for no apparent reason and lasts a long time (hours, days).
At the same time, the color of erythema can be different: pale pink, bright red or bluish-purple. Against the background of reddening of the skin, telangiectasias are gradually formed - “vascular spiders” and “veins” of dilated vessels, which at this stage are most often located on the wings of the nose and in the cheek area.
The papular-pustular stage, respectively, with the name, is characterized by the appearance of papules (acne) and pustules (pustules). Initially, nodules appear on the background of reddened and thickened skin - papules, which subsequently merge to form pustules that resemble youthful acne (hence the other name of the disease - "pink acne").
The hypertrophic stage is characterized by the appearance of skin disfigurement disfiguring the face, caused by hyperplasia of the sebaceous glands, and pineal growths in various parts of the head. Thus, hypertrophic processes in the nasal area form rhinophyma, in the area of the forehead - metaphim, in the area of the eyelids - blepharophyma, in the area of the earlobe - otophimy, in the area of the chin - gnatophime.
Symptoms of the hypertrophic stage of demodicosis on the face (photo)
Fig. 7 Symptoms of the last stage of demodicosis: hypertrophic growths on the chin (gnatophyma).
Fig. eight. Hypertrophic stage of demodicosis: pincushion thickening of the skin on the forehead (metaphim) and on the cheeks.
Classic hypertrophic demodicosis on the nose - rhinophyma (photo)
Fig. 9. Rhinophyma combined with pincushion thickening of the skin of the cheeks.
Fig. ten. Plastic surgery for giant rhinophyma.
Scalp demodecosis: symptoms of hypertrophic stage in the ear - otophima (photo)
Fig. eleven. Otofima. The growths resembling cauliflower in the ear.
Fig. 12. Severe effects of demodicosis. The combination of rhinophyma and otofyma (hypertrophic growths of the earlobe).
Demodecosis of hair (photo)
Fig. 13. Demodecosis of the scalp. One can see hypertrophic growths on the auricle and characteristic rashes on the skin of the face and neck.
Demodecosis of the scalp occurs at least as often as face demodecosis. However, quite often the disease remains unrecognized. Especially in cases when erythematous skin lesions and papular-pustular rashes are completely hidden under the hair.
In such cases, patients complain of itching and burning in the affected area, and also pay attention to palpable seals, which are clusters of inflamed sebaceous glands.
In addition, with demodecosis of the scalp, dandruff is enhanced. With a long course of the disease, severe damage to the hair follicles and hair loss may occur, which can lead to alopecia areata (focal baldness).
Demodecosis of eyelids and eyelashes
On human centuries, ticks of the Demodex family settle in the follicles of eyelashes and meibomian glands (modified sebaceous glands opening at the edges of the eyelids).
Intensive reproduction of pathogenic mites causes inflammation of the edges of the eyelids - demodectic blepharitis, and is accompanied by intense itching, aggravated at night, and also when exposed to heat.
In addition, patients with demodectic blepharitis bother the sensation of "weight" of the eyelids, burning sensation in the region of the edges of the eyelids, eye fatigue.
It should be noted that demodectic blepharitis has such a characteristic symptom as the appearance of white muffs around the affected eyelashes, accompanied by reddening and thickening of the edges of the eyelids with the formation of crusts and scales on them.
The progression of the process leads to loss of eyelashes and a significant thickening of the edges of the eyelids, which disrupts the normal closure of the palpebral fissure.
Demodecosis of the eyelids and eyelashes of a person in 60% of cases is accompanied by manifestations of demodecosis of the face and scalp. Often develop the following "eye" complications:
- chronic conjunctivitis,
- dry eye syndrome
- abnormal growth of eyelashes with conjunctival injury,
- regional keratitis (regional inflammation of the cornea covering the iris and pupil).
Ocular demodicosis: blepharoconjunctivitis, dry eye syndrome, regional keratitis
Damage to the eyes with demodicosis, as a rule, is a complication of demodecous blepharitis. The thickening of the edges of the eyelids of the eye contributes to the violation of the fit of the conjunctiva of the eyelids to the eyeball. As a result, the normal functioning of the conjunctival sac is disrupted, there is a shortage of tear fluid and dry eye syndrome develops, with symptoms characteristic of it:
- feeling of sand under the eyelids,
- eye fatigue,
- reduced vision
- development of chronic "dry" conjunctivitis and keratoconjunctivitis (combined inflammation of the conjunctiva and cornea).
The destruction of eyelid follicles by demodectic mites leads to an impairment of the growth of cilia, so that the mucous membrane of the conjunctiva and cornea are injured by separate inward-growing eyelashes.
As a result, marginal keratitis develops, which is characterized by the occurrence of erosion and ulceration along the edges of the cornea. Clinically, damage to the cornea is manifested by the following symptoms:
- painful spasm of the eyelids
If such warning signs appear, you should immediately consult a doctor. The disruption of the tear fluid, which is characteristic of demodectic blepharoconjunctivitis, facilitates the adherence of a secondary infection, so that a complication that can lead to eye loss can occur as a creeping corneal ulcer.
As clinical experience shows, damage to the eyeballs with demodicosis can also occur independently, without prior inflammation of the edges of the eyelids. Rarely encountered isolated chronic conjunctivitis and keratoconjunctivitis in demodicosis, as a rule, is associated with immune disorders that caused the addition of a secondary infection.
In addition, damage to the eyes during demodicosis may be associated with sensitization of the body by the products of tick life. In such cases, inflammatory processes in the conjunctiva occur according to the type of chronic allergic reactions.
Demodecosis on the neck, chest and back
Most often, demodecosis affects the face, eyelids and scalp. It is here that pathogenic hypodermic mites of the genus Demodex are found in the greatest numbers.
However, in severe cases, rashes characteristic of demodicosis can spread down to the neck, chest and upper back. In such cases, patients complain of itching, burning and feeling of tightness of the skin in the affected areas.
Are the manifestations of demodicosis on the body limited to the upper part of the body? Is there such a disease as demodicosis of the feet in humans?
As many studies have shown, the causative agents of demodicosis live in humans mainly on the skin of the front of the head, especially in its central part.On other parts of the body, they are found much less frequently.
Even with the running processes, the surface density of distribution of Demodex mites sharply decreases from top to bottom. This distribution is associated with the functioning of the sebaceous glands of the human body. There are few such glands on the feet, so there is simply nothing for the pincers of the Demodex family to eat.
What is the study: scraping on demodicosis
Scraping for demodicosis is a study on the presence of mites of the Demodex kind of material on the affected skin surface, obtained using a conventional surgical scalpel.
This procedure is practically painless and does not bring the patient much concern. With the help of a sharp scalpel, the doctor removes the surface layer of skin epithelium in the most affected area (wings of the nose, cheeks, forehead).
Further research can be carried out directly in the presence of the patient. The material is placed on a glass slide and carefully examined under a microscope. A scraping for demodicosis is considered positive if specimens of parasites, larvae, eggs and their empty shells are found in the scraping.
In the case of a positive result, the Demodex tick species is determined, since the treatment tactics and the duration of the course depend on it.
In order to achieve the most accurate results, it is recommended not to use cosmetics or wash the skin for two days before taking the analysis.
Where to pass the analysis of demodicosis century (demodectic blepharitis)
The analysis for demodicosis of the eyelids, as well as the scraping for demodicosis, is traditionally passed in the dermatovenerologic dispensary, since this pathology refers to dermatological diseases. In addition, such a study can be done in a private laboratory.
For the study take several affected cilia (usually 3-5 from the upper and lower eyelids). Freshly lashed eyelash placed on a glass slide and poured with a solution-fixer (caustic alkali, gasoline, kerosene, glycerin).
The diagnosis of demodicosis can only be made if there are six or more ticks around the root of one eyelash. The fact is that mites of the Demodex genus in eyelash follicles are found in 80% of absolutely healthy people.
In controversial cases, the doctor examines under the microscope another affected eyelash.