Dall'Oglio Federica, Nasca Maria Rita, Guglielmi Giulia, Micali Giuseppe
Dermatology Clinic, University of Catania, Catania, Italy.
Skin Appendage Disord. 2024 Oct;10(5):429-432. doi: 10.1159/000537807. Epub 2024 May 15.
Scalp rosacea is often misdiagnosed or overlooked, and few reports deal with this peculiar localization. Furthermore, the pharmacological approach to scalp rosacea remains a therapeutic challenge, as no topical and/or systemic drugs have been approved for this specific area so far.
A series of 5 adult patients affected by inflammatory rosacea and concurrent scalp involvement, confirmed by dermoscopy and histopathology with negative microbiologic swabs, and effectively treated with ivermectin 1% cream once daily for 12 weeks is presented.
Our experience, although limited, suggests that evaluation of rosacea subjects should also include the scalp and that the treatment with ivermectin 1% cream may be effective on scalp rosacea.
头皮酒渣鼻常被误诊或忽视，很少有报告涉及这一特殊部位。此外，头皮酒渣鼻的药物治疗方法仍然是一个治疗挑战，因为目前尚无局部和/或全身药物被批准用于这一特定区域。
本文介绍了5例成年患者，经皮肤镜和组织病理学检查确诊为炎性酒渣鼻且伴有头皮受累，微生物拭子检查为阴性，每天外用1%伊维菌素乳膏治疗，持续12周，治疗效果良好。
我们的经验虽然有限，但表明酒渣鼻患者的评估也应包括头皮，且1%伊维菌素乳膏治疗头皮酒渣鼻可能有效。
