Journal of Clinical & Experimental Dermatology Research
Open Access

Stefanie Ali

Publications

• Case Report
  Discrete and Coalescing Pustules Masking Severe Recalcitrant Rosacea due to Demodex
  Author(s): Chase Wilson, Stefanie Ali, Nico Mousdicas and Megan Brinkworth Chase Wilson, Stefanie Ali, Nico Mousdicas and Megan Brinkworth
  
  We describe a clinical case concerning a 36 year old man with a recalcitrant dermatosis involving the face and neck to demonstrate how multiple pathogenic mechanisms may ultimately prohibit disease resolution. This patient’s disease persisted despite multiple standard treatments for the leading differential diagnoses early in the disease course including: topical/systemic corticosteroids for an initially suspected facial dermatitis followed by minocycline and oral ivermectin for granulomatous rosacea with high Demodex burden. These failed therapies prompted the use of oral prednisone and topical pimecrolimus that resulted in some improvement but worsening flares if therapy was discontinued. The leading differential shifted toward rosacea fulminans or an unusual manifestation of immune reconstitution inflammatory syndrome (IRIS) in the setting of possible HIV or iatrogen.. View More»
  DOI: 10.4172/2155-9554.10000298

  Abstract PDF

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