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  Indian J Med Microbiol
 

Figure 6: Clinicodermoscopic differentiation of Rosacea-like demodiciodosis (RLD) from papulopustular rosacea: (a) Clinical mage of the muzzle area of the face of a middle-aged lady with intolerance to photoexposure, off- and on itchy and scaly papular eruption over the muzzle area diagnosed with RLD. (b) Dermoscopy from the cheek revealed pinkish red background, with multiple demodex tails (black arrows), and demodex follicular openings (black asterisks). The blue circles have been drawn to surround comedones. Additionally, horizontally-to-haphazardly oriented reticular red dilated blood vessels can be seen, tending to form vascular polygons at places. But other features such as additional scale-crusts, follicular pustules are absent. (c) Facial image of a young lady suffering from chronic papulopustular rosacea with break through lesions. (d) Dermoscopy of the patient's cheek reveals dense erythema in the background, linear vessels characteristically arranged in a polygonal network (vascular polygons) follicular plugs, whitish-yellowish scales (black stars), orange-yellowish areas, pigmentation structures (black arrows), dilated follicles and follicular pustules (blue arrows), clues almost confirmatory of papulopustular rosacea [Escope videodermoscope, polarized, non-contact, 50×]

Figure 6: Clinicodermoscopic differentiation of Rosacea-like demodiciodosis (RLD) from papulopustular rosacea: (a) Clinical mage of the muzzle area of the face of a middle-aged lady with intolerance to photoexposure, off- and on itchy and scaly papular eruption over the muzzle area diagnosed with RLD. (b) Dermoscopy from the cheek revealed pinkish red background, with multiple demodex tails (black arrows), and demodex follicular openings (black asterisks). The blue circles have been drawn to surround comedones. Additionally, horizontally-to-haphazardly oriented reticular red dilated blood vessels can be seen, tending to form vascular polygons at places. But other features such as additional scale-crusts, follicular pustules are absent. (c) Facial image of a young lady suffering from chronic papulopustular rosacea with break through lesions. (d) Dermoscopy of the patient's cheek reveals dense erythema in the background, linear vessels characteristically arranged in a polygonal network (vascular polygons) follicular plugs, whitish-yellowish scales (black stars), orange-yellowish areas, pigmentation structures (black arrows), dilated follicles and follicular pustules (blue arrows), clues almost confirmatory of papulopustular rosacea [Escope videodermoscope, polarized, non-contact, 50×]