%0 Journal Article
%T Blefaritis por Demodex folliculorum: Diagn車stico y tratamiento Diagnosis and treatment of blepharitis caused by Demodex folliculorum
%A Ibis Sedeˋo Cruz
%A Ester Novoa S芍nchez
%A Vivian Padr車n 芍lvarez
%A Francisco Garc赤a Gonz芍lez
%J Revista Cubana de Oftalmologˋ-a
%D 2006
%I Editorial Ciencias M谷dicas
%X El Demodex folliculorum, 芍caro del fol赤culo piloso, es un par芍sito frecuente y extendido, que ocasiona blefaritis eccematosa cr車nica, con diagn車stico cl赤nico infrecuente. Se estudiaron durante un per赤odo de seis meses los pacientes que acudieron a consulta con diagn車stico de blefaritis cr車nica resistente a tratamientos habituales. Por la sintomatolog赤a cl赤nica y los hallazgos en el examen con l芍mpara de hendidura, como: costras, estructuras similares a ※bocamangas§ o pu os de camisa y el espol車n en la ra赤z de las pesta as, se plante車 el diagn車stico presuntivo de blefaritis ac芍rica. Se realiz車 depilaci車n de varias pesta as, corroborando la existencia del par芍sito vivo en 20 pacientes mediante el examen microsc車pico directo inmediato (100X). Todos fueron tratados con medidas de higiene palpebral y 車xido amarillo de mercurio, se logr車 mejor赤a en 17 pacientes. Se destaca la importancia de pensar en el Demodex folliculorum ante todo paciente que se consulte por blefaritis cr車nica resistente a tratamientos convencionales, por la facilidad de su diagn車stico y buenos resultados terap谷uticos Demodex folliculorum, a hair follicle mite, is a frequently extended parasite that causes chronic eczematous blepharitis, but its clinical diagnosis is rare. The patients that went to the Ophthalmological service with conventional treatment-resistant chronic blepharitis were studied for 6 months. Due to their clinical symptoms and the test findings such as scabs, cuff-like structures and a spur in the eyelid roots, the presumptive diagnosis of mite-caused blepharitis was made. Several eyelids were removed, confirming the live parasite present in 20 patients by an inmediate direct microscopic test. All of them were given a treatment based on yellow mercure oxide. Seventeen patients improved their health condition. It is stressed that Demodex folliculorum must be considered as causative agent when some patient is seen at hospital because of conventional therapy-resistant chronic blepharitis, since this illness is easy to be diagnosed and therapeutic results are good
%K Demodex
%K 芍caro
%K blefaritis
%K Demodex
%K mite
%K blepharitis
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21762006000100003