Facial dermatoses in patients with blepharitis: a cross-sectional prospective analysis.

Semih Güder; Şafak  Çulfa

doi:10.5826/dpc.1203a113

Facial dermatoses in patients with blepharitis: a cross-sectional prospective analysis.

Authors

Semih Güder Department of Dermatology, Medical Faculty, Bezmialem Vakif University, Adnan Menderes Bulvarı, Fatih/Istanbul, Turkey
Şafak Çulfa Department of Ophthalmology, Medical Faculty, Bezmialem Vakif University, Adnan Menderes Bulvarı, Fatih/Istanbul, Turkey

Keywords:

blepharitis, facial dermatoses, demodicosis, rosacea, seborrheic dermatitis

Abstract

Introduction: The relationship between facial dermatoses and blepharitis has been known for a
long time.
Objectives: We aimed to investigate the frequency of accompanying facial dermatoses in patients with
blepharitis and their relationship with the severity of blepharitis.
Methods: In this cross-sectional study, 95 patients with blepharitis were examined for attending facial
dermatoses. The type of blepharitis, the severity of blepharitis, and the degree of dry eye were
determined in the patients. Dermoscopic and microscopic examinations were used in the diagnosis of
facial dermatoses. The history of allergic rhinitis was questioned because Demodex species frequently
accompany blepharitis, facial dermatoses, and allergic rhinitis patients. Mann-Whitney U test was
used compare 2 independent groups. In comparing categorical variables, Pearson chi-Squared, Fishere
Exact, and Fisher-Freeman-Holton tests were used.
Results: At least 1 facial dermatosis was detected in 84.2% patients, and we did not see any facial
dermatosis in 15.8% ones. No patients had acne, which is one of the most common facial dermatoses.
The most common facial dermatosis detected in our patients was facial demodicosis (57.9%). It was
followed by seborrheic dermatitis (22.1%) and rosacea (12.6%), respectively. In addition, 2.1% of the
patients had atopic eyelid dermatitis, 23.2% had a history of allergic rhinitis, and 63.2% had ocular
demodicosis.
Conclusions: It is essential to perform dermatological examinations of all patients with blepharitis in
terms of accompanying facial dermatoses and their early diagnosis.

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