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The Hidden Culprit Unraveled by Dermoscopy: A Rare Case of Pediatric Facial Demodicosis

Year: 2026

Type: article

Abstract: We report a rare case of pediatric facial and ocular demodicosis in an immunocompetent seven-year-old with chronic centrofacial papulopustular lesions and recurrent blepharitis misdiagnosed over several years. Dermoscopic examination revealed a high-density Demodex infestation on facial skin and eyelashes, leading to a definitive diagnosis. A combined treatment approach using topical and systemic metronidazole, along with targeted ocular therapy, achieved complete remission. This case highlights the diagnostic power of dermoscopy and underscores the importance of considering demodicosis in children with refractory facial and ocular involvement.

Source: Cureus

DOI: 10.7759/cureus.103581

Authors: Chaimae Bouhamdi, Hanane Baybay, Meryem Soughi, Sara Elloudi, Fatima Zahra Mernissi

Institution: Centre Hospitalier Universitaire Hassan II

Language: English

Topic: Dermatological diseases and infestations

Subfield: Infectious Diseases

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7128913141