UNUSUAL MANIFESTATION OF DEMODICIDOSIS IN A CHILD

A 14-month-old male infant was brought to the Department of Dermatology, Yonsei University Wonju College of Medicine, with a scaly pruritic skin rash on the glabella area that had been present for 3 weeks. Physical examination showed a coin-sized erythematous scaly patch on the glabella (Fig. 1). There had been no response to the application of topical corticosteroid (Vaspit). The medical history and the results of physical examination were otherwise unremarkable. The diagnosis at the time was atopic dermatitis. A fungal study to rule out tinea faciei showed no fungal spores or hyphae, but many scattered Demodex mites (D. foiiicuiorum) were seen in a 10% potassium hydroxide preparation of skin scrapings (Fig. 2). The patient's lesion cleared with the appli-cation of crotamiton cream on three consecutive nights.