case_images: PMC10664713_01
case_images: Multiple whiteheads, blackheads, erythematous papules, and pustules, mainly on the right cheek, chin, and mandibular area, with some areas of redness, dryness, and roughness. (Case 1).
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case_images: Additionally, some parts of her facial skin appeared to be slightly red, dry, and rough to the touch, which was different from other areas of the skin that were still oily (Figure 1).
case_images: Standard skin surface biopsy revealed multiple Demodex mites on the right cheek, and superficial needle-scrapings confirmed their presence in the pustule. (Case 1).
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case_images: A standardized skin surface biopsy from her cheek revealed 38 mites/ cm2, while the superficial needle-scrapings from five pustules found 3 mites with multiple bacteria (Figure 2).
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case_images: Red, dry patches with scaly follicles on both cheeks accompanied by multiple whiteheads, blackheads, and inflamed papules on the chin area. (Case 2).
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case_images: Additionally, there were erythematous, dry patches with follicular scales on both cheeks (Figure 3).
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case_images: Multiple inflammatory papules, nodules, pustules, and whiteheads around the mouth accompany redness and swelling on the face. (Case 3).
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case_images: During the physical examination, oily skin with multiple black and whiteheads, inflammatory nodules, and pustules was observed on her face, particularly around the nose and mouth, accompanied by swelling and redness (Figure 4).
case_images: Post-inflammatory hyperpigmentation with comedones and some inflamed papules on both cheeks and chin. (Case 3).
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case_images: After the treatment, the patient still had post-inflammatory hyperpigmentation with comedones and some inflamed papules on the cheeks and chin (Figure 5).