Demodicosis Cutis and Metabolic Disturbances

Cutaneous demodicosis (CD) is a pilosebaceous unit disease, overlapping clinically with other facial dermatoses, mainly rosacea, and acne. It is usually improved by acaricidal monotherapy. This study investigates the association of CD with metabolic disturbances. It was conducted with 141 patients w...

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Main Authors: Evgeni Hristozov, Katya Peeva, Valeri Malev, Ivelina Yordanova, Grisha Mateev
Format: Article
Language:English
Published: Medical University - Pleven 2022-06-01
Series:Journal of Biomedical & Clinical Research
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Online Access:https://jbcr.arphahub.com/article/34618/download/pdf/
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author Evgeni Hristozov
Katya Peeva
Valeri Malev
Ivelina Yordanova
Grisha Mateev
author_facet Evgeni Hristozov
Katya Peeva
Valeri Malev
Ivelina Yordanova
Grisha Mateev
author_sort Evgeni Hristozov
collection DOAJ
description Cutaneous demodicosis (CD) is a pilosebaceous unit disease, overlapping clinically with other facial dermatoses, mainly rosacea, and acne. It is usually improved by acaricidal monotherapy. This study investigates the association of CD with metabolic disturbances. It was conducted with 141 patients with primary and secondary CD. The study investigated the correlation between CD and dyslipidemia based on disturbances in total cholesterol (TC) and Low-Density Lipoproteins (LDL) and between CD and impaired glucose tolerance, diagnosed with elevated fasting blood sugar levels, 120 minutes blood sugar levels in oral glucose tolerance test (OGTT) and the mathematically calculated Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) index. The study results were verified with control groups. It was established that patients with CD do not show statistically significant deviations in serum lipoproteins compared with the control group. However, the patients with CD tended to have impaired glucose tolerance, demonstrated with elevated fasting glucose levels and elevated HOMA-IR, compared to the control group. Interestingly enough, the tendency towards prediabetes and diabetes was not confirmed by the 120 minutes blood glucose levels of the OGTT. The presented data confirm the need for testing impaired glucose tolerance in every patient with cutaneous demodicosis. Based on the presented evidence, it is recommended to perform the screening by evaluating fasting glucose levels and fasting insulin levels, followed by calculating the HOMA-IR index.
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spelling doaj-art-81bcf0a2f68643e3a971bb2e6bb3d6bd2025-08-20T03:36:18ZengMedical University - PlevenJournal of Biomedical & Clinical Research1313-90532022-06-01151475710.2478/jbcr-2022-000634618Demodicosis Cutis and Metabolic DisturbancesEvgeni HristozovKatya PeevaValeri MalevIvelina YordanovaGrisha MateevCutaneous demodicosis (CD) is a pilosebaceous unit disease, overlapping clinically with other facial dermatoses, mainly rosacea, and acne. It is usually improved by acaricidal monotherapy. This study investigates the association of CD with metabolic disturbances. It was conducted with 141 patients with primary and secondary CD. The study investigated the correlation between CD and dyslipidemia based on disturbances in total cholesterol (TC) and Low-Density Lipoproteins (LDL) and between CD and impaired glucose tolerance, diagnosed with elevated fasting blood sugar levels, 120 minutes blood sugar levels in oral glucose tolerance test (OGTT) and the mathematically calculated Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) index. The study results were verified with control groups. It was established that patients with CD do not show statistically significant deviations in serum lipoproteins compared with the control group. However, the patients with CD tended to have impaired glucose tolerance, demonstrated with elevated fasting glucose levels and elevated HOMA-IR, compared to the control group. Interestingly enough, the tendency towards prediabetes and diabetes was not confirmed by the 120 minutes blood glucose levels of the OGTT. The presented data confirm the need for testing impaired glucose tolerance in every patient with cutaneous demodicosis. Based on the presented evidence, it is recommended to perform the screening by evaluating fasting glucose levels and fasting insulin levels, followed by calculating the HOMA-IR index.https://jbcr.arphahub.com/article/34618/download/pdf/cutaneous demodicosisrosaceadyslipidemiapred
spellingShingle Evgeni Hristozov
Katya Peeva
Valeri Malev
Ivelina Yordanova
Grisha Mateev
Demodicosis Cutis and Metabolic Disturbances
Journal of Biomedical & Clinical Research
cutaneous demodicosis
rosacea
dyslipidemia
pred
title Demodicosis Cutis and Metabolic Disturbances
title_full Demodicosis Cutis and Metabolic Disturbances
title_fullStr Demodicosis Cutis and Metabolic Disturbances
title_full_unstemmed Demodicosis Cutis and Metabolic Disturbances
title_short Demodicosis Cutis and Metabolic Disturbances
title_sort demodicosis cutis and metabolic disturbances
topic cutaneous demodicosis
rosacea
dyslipidemia
pred
url https://jbcr.arphahub.com/article/34618/download/pdf/
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AT katyapeeva demodicosiscutisandmetabolicdisturbances
AT valerimalev demodicosiscutisandmetabolicdisturbances
AT ivelinayordanova demodicosiscutisandmetabolicdisturbances
AT grishamateev demodicosiscutisandmetabolicdisturbances