Thanks for sharing the abstract, Logan. Unfortunately, I was just
paraphrasing from a previous post by Dr. Nase... and I believe he was
pulling from a few abstracts that he was reviewing at the time.
(Original message:
http://groups-beta.google.com/group/rosacea/msg/a9fe36ae6e55469a) What
turned me on to the original post was the effectiveness of
Stromectol/Ivermectin, the large number of positive results reported,
and even more the saftey of it ("not one major side effect").

It's good to know that oral metronidazole is an option to use for this
as well. I think I may have even remembered low dosage Accutane as being
a theoretical helper with facial mite infestation (?).

But then again, I'm not much of an expert on these things... I'm merely
a starving physics student. :)

Ian

loganruns73 wrote:

>>If anything, a prescription of Stromectol appears to
>>be one of the safest and most effective medications
>>for ruling out mite involvement.
>>
>>
>
>Not really. See the abstract below.
>
>Logan
>
>
>J Am Acad Dermatol. 2003 Nov;49(5 Suppl):S272-4.
>
>Demodex abscesses: clinical and therapeutic challenges.
>
>Schaller M, Sander CA, Plewig G.
>
>Department of Dermatology and Allergology, University of Munich,
>Germany. Martin.Schaller@...
>
>A 53-year-old man had a 6-week history of confluent erythematous
>papules, pustules, and abscesses of the face initially limited to the
>right nasolabial fold. Histologic investigation revealed a
>perifollicular infiltrate with lymphocytes, histiocytes, and many
>Demodex folliculorum mites. A large number of mites were seen in skin
>scrapings. The skin manifestations progressed and persisted for the
>following 5 years and were unresponsive to numerous antiparasitic
>treatments, including repeated oral administration of ivermectin and
>external application of lindane, permethrin, and benzoyl benzoate.
>Therapy with oral administration of 250 mg metronidazole 3 times a
>day for 2 weeks resulted in rapid and lasting recovery. Demodex
>folliculitis remains a diagnostic and therapeutic challenge.
>Antiparasitic therapies used against lice or scabies may fail in
>control of D folliculorum mites. In the presence of clinical and
>microscopic findings typical of Demodex folliculitis or abscesses,
>treatment failure with acaricidal agents does not exclude the
>diagnosis. Oral metronidazole seems to work in the management of this
>chronic mite infestation.
>
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