How to treat a subcutaneous mite that causes pimples? - briefly
Use a topical scabicide such as permethrin 5 % cream, applied once daily for seven days and repeated after a week, combined with gentle cleansing and a non‑comedogenic anti‑inflammatory cream to reduce lesions. Avoid oily cosmetics and keep the area dry to prevent reinfestation.
How to treat a subcutaneous mite that causes pimples? - in detail
The condition results from an embedded acarid that penetrates the superficial dermis and provokes inflammatory papules. Accurate identification requires microscopic examination of skin scrapings or dermatoscopic visualization of the mite’s body and its burrows. Laboratory confirmation distinguishes this infestation from bacterial acne and guides therapy.
Effective management combines pharmacologic, hygienic, and environmental measures.
- Topical acaricides: apply 5 % permethrin cream once daily for three consecutive days; repeat after one week if lesions persist.
- Oral antiparasitics: administer ivermectin at 200 µg/kg body weight as a single dose; a second dose after 7 days improves eradication rates.
- Antibacterial adjuncts: use a short course of topical clindamycin or oral doxycycline when secondary bacterial infection is evident.
- Skin care: cleanse affected area twice daily with a mild, non‑comedogenic cleanser; avoid oil‑based cosmetics that may shelter the parasite.
- Environmental decontamination: wash bedding, towels, and clothing at 60 °C; vacuum carpets and upholstered furniture; consider treating pets with appropriate ectoparasitic medication if they serve as reservoirs.
Monitoring includes weekly clinical assessment for reduction of papules and absence of new burrows. Persistent lesions after two treatment cycles warrant repeat microscopy and possible escalation to higher‑dose ivermectin or combination therapy with benzyl benzoate.
Patient education emphasizes avoidance of skin trauma, maintenance of personal hygiene, and regular laundering of household textiles to prevent reinfestation. «Effective control relies on simultaneous elimination of the organism and removal of its habitat».