Generalized Demodicosis
It is severe skin condition frequently associated
with generalized deep pyoderma, which may be fatal without
extensive treatment; such cases have been shown to have profound
T-cell suppression.
Lesions of this type of demodicosis
are most marked on the head and legs but quickly spread to
other areas. There is severe crusting, scaling and alopecia.
Even oozing out of pus is also being noticed in severe infection.
In acute cases there may be extensive erythema
hence the old term- "Red mange". As lesions
became chronic this erythema is replaced by stale hyperpigmentation.
Juvenile demodicosis is
the term used to describe case beginning before the age group
of two years, while adult on set demodicosis
occurs at any age after two years. Juvenile onset demodicosis
is more common and has more favorable prognosis and the adult
on set form may be associated with serious underlying systemic,
possibly immunosuppressive diseases.
In demodicosis with pus,
the lesions may be confined to feet. There may be swelling
erythema and purulent infection of the feet in acute cases,
and thickened hyper pigmentation of skin with alopecia in
chronic cases.
|