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Year : 2022  |  Volume : 2  |  Issue : 4  |  Page : 967-968

Demodicosis: An unusual masquerade of basal cell carcinoma

Department of Orbit and Oculoplasty, Aravind Eye Hospital, Chennai, Tamil Nadu, India

Correspondence Address:
Dr. Gayatri Fulse
Aravind Eye Hospital, Ponamallee High Road, Noombal, Chennai - 600 077, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_645_22

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A 75-year-old female presented with swelling and redness on the left lower lid away from the lid margin since 10 days. The best corrected visual acuity in both eyes is 6/6 and N6. On examination, an erythematous ulcerative lesion with rolled edges and central necrosis on the left malar area was seen clinically mimicking basal cell carcinoma. Excision biopsy was performed, and the histopathology report revealed an inflamed follicle with intra-follicular demodex folliculorum with ulceration and suppurative abscess with necrotizing destruction of hair follicles. The patient was treated with topical ciprofloxacin ointment. Follow-up after 3 weeks showed complete resolution of the lesion with no recurrence at 3 months.

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