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LETTER TO EDITOR
Year : 2013  |  Volume : 5  |  Issue : 3  |  Page : 166  

Prevalence of eyelash demodex among human immunodeficiency virus infected patients at different CD4+ count status


1 Wiwanitkit House, Bangkhae, Bangkok, Thailand
2 Hainan Medical University, China

Date of Web Publication22-Jan-2014

Correspondence Address:
Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-7753.125625

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How to cite this article:
Wiwanitkit S, Wiwanitkit V. Prevalence of eyelash demodex among human immunodeficiency virus infected patients at different CD4+ count status. Int J Trichol 2013;5:166

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. Prevalence of eyelash demodex among human immunodeficiency virus infected patients at different CD4+ count status. Int J Trichol [serial online] 2013 [cited 2023 Mar 27];5:166. Available from: https://www.ijtrichology.com/text.asp?2013/5/3/166/125625

Sir,

The trichological disorder among human immunodeficiency virus (HIV) infected patients is an important concern. There are many possible problems especially for the fungal infection. [1] Focusing on parasitic infestation, it is usually less mentioned. Apart from the well-known diseases, louse and scabies infestations, there are also others. Demodex infestation is a hair infestation that can be seen around the world. The common site of infestation is at eyelash and it can result in folliculitis and other more serious clinical problems (such as blepharitis). In a recent report from Mexico, nearly 20% of general population got this parasite. [2] For HIV infected patients, a previous report showed that the prevalence was estimated 20%. [3] Focusing on the HIV infected patients, there has never report on the rate of eyelash demodex and its interrelationship with CD4+ count. Here, the authors performed a small preliminary survey on 60 HIV infected patients (20 cases with CD4+ count <200 cells/mL, 20 cases with CD4+ count between 200 and 500 cells/mL and 20 cases with CD4+ count >500 cells/mL). The rates of eyelash demodex are equal to 95%, 70% and 20%, in the cases with CD4+ count <200 cells/mL, CD4+ count between 200 and 500 cells/mL and CD4+ count >500 cells/mL, respectively. It can be seen that there is a trend of increasing prevalence when the CD4+ count drops. In fact, there is a previous report mentioned for the relationship between increased dermatological disorder and decreased CD4+ count among HIV infected patients. [4]

 
   References Top

1.Prose NS, Abson KG, Scher RK. Disorders of the nails and hair associated with human immunodeficiency virus infection. Int J Dermatol 1992;31:453-7.  Back to cited text no. 1
[PUBMED]    
2.Vargas-Arzola J, Reyes-Velasco L, Segura-Salvador A, Márquez-Navarro A, Díaz-Chiguer DL, Nogueda-Torres B. Prevalence of Demodex mites in eyelashes among people of Oaxaca, Mexico. Acta Microbiol Immunol Hung 2012;59:257-62.  Back to cited text no. 2
    
3.Kosik-Bogacka DI, Łanocha N, Łanocha A, Czepita D, Grobelny A, Zdziarska B, et al. Demodex folliculorum and Demodex brevis in healthy and immunocompromised patients. Ophthalmic Epidemiol 2013;20:159-63.  Back to cited text no. 3
    
4.Wiwanitkit V. Prevalence of dermatological disorders in Thai HIV-infected patients correlated with different CD4 lymphocyte count statuses: A note on 120 cases. Int J Dermatol 2004;43:265-8.  Back to cited text no. 4
[PUBMED]    



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