Peculiarities of the Clinical Picture and the Course of Acne and Rosacea at the Detection of Demodex Mites

The article analyzes the clinical picture and course of acne and rosacea in patients with Demodex mites. The article presents the advantages of using the method of confocal laser scanning microscopy and the superiority of this method over the method of light microscopy of skin scrapings. It was found that Demodex mites complicate the course of acne and rosacea. Demodex folliculorum longus shows signs of parasitism, while Demodex folliculorum brevis is a saprophyte of facial skin. The severity of the disease does not depend on the quantitative load of the mites in the scraping. As an antiparasitic medication for the purpose of eliminating Demodex mites, it is recommended to use 7% metronidazole in the form of a gel or cream-gel (depending on skin type) for 20 days externally.