Efficacy of salicylic acid chemical peeling in treating a case of severe Demodex folliculorum-induced rosacea

Rosacea is a common chronic inflammatory skin disorder, characterized by central facial erythema, papules, pustules, telangiectasia, etc.1 Its pathogenesis remains incompletely understood, involving genetic, immunologic, neurogenic, vascular, and environmental factors.2 Recently, increasing evidence has confirmed the important role of Demodex infestation in rosacea development. Demodex folliculorum mites reside in pilosebaceous units, inducing perifollicular inflammation that exacerbates rosacea.