Evidence map›Paper›PMID 40433708›Full record

ArticleJournal of cosmetic dermatology2025

Therapeutic Modulation of Demodex Density via Isotretinoin: Insights From a Prospective Dermatological Investigation.

Ahmed Muayad Jirjees Chakmakchi, Emine Tugba Alatas, Aslan Yurekli, Ceyda Tetik Aydoğdu, Suzan Demir Pektas

Abstract read
In one paragraph

Article in Journal of cosmetic dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. The exposomal imprint on rosacea: More than skin deep.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
  2. Sebum-Selective 1,726-nm Laser Therapy for Papulopustular Rosacea Associated withClinical, cosmetic and investigational dermatology · 2026
    Article
  3. Reducing ocularFrontiers in allergy · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ahmed Muayad Jirjees ChakmakchiDepartment of Dermatology, Mugla Sitki Kocman University Faculty of Medicine, Mugla, Turkey.
Emine Tugba AlatasDepartment of Dermatology, Mugla Sitki Kocman University Faculty of Medicine, Mugla, Turkey.ORCID https://orcid.org/0000-0002-5727-9474
Aslan YurekliDepartment of Dermatology, Mugla Sitki Kocman University Faculty of Medicine, Mugla, Turkey.ORCID https://orcid.org/0000-0003-2812-2133
Ceyda Tetik AydoğduDepartment of Dermatology, Mugla Sitki Kocman University Faculty of Medicine, Mugla, Turkey.
Suzan Demir PektasDepartment of Dermatology, Mugla Sitki Kocman University Faculty of Medicine, Mugla, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimDemodex spp. are ectoparasites that reside in pilosebaceous units, particularly on the face where sebum secretion is prominent. The sebum-reducing effects of isotretinoin play a crucial role in the management of acne vulgaris and rosacea. This study aims to assess the effect of isotretinoin on Demodex density in patients with acne vulgaris and rosacea accompanied by demodicosis. The evaluation includes Demodex mite density, before, during, and after 6 months of isotretinoin treatment. MATERIALS

methodsThe study included patients diagnosed with acne vulgaris and rosacea accompanied by demodicosis who were prescribed isotretinoin treatment. Demographic data were collected, and Demodex spp. mites were detected using superficial skin biopsy before treatment initiation. Follow-up samples were obtained at 2 and 6 months. Statistical analysis was performed using SPSS version 23, with a significance level set at p < 0.05.

resultsA total of 36 patients, 25 with acne and 11 with rosacea, were included in our study. Demodex density was assessed before treatment, at 2 months, and at 6 months. Our findings showed a significant decrease in Demodex density with isotretinoin treatment, especially in relation to the decrease in sebum secretion (p < 0.001).

conclusionThis study makes a notable contribution to the existing literature by being the first to assess the impact of isotretinoin treatment on Demodex density. Our results indicate that isotretinoin effectively reduces Demodex density, likely due to a reduction in sebum production. To further explore isotretinoin's effects, future research should involve larger sample sizes and extended follow-up periods. These findings enhance our understanding of isotretinoin's role in managing Demodex-related dermatological conditions.

Indexed as

Acne VulgarisDermatologic AgentsIsotretinoinMite InfestationsMitesRosaceaAdolescentAdultAnimalsBiopsyFemaleFollow-Up StudiesHumansMaleProspective StudiesSebumDermatologic AgentsIsotretinoinacne vulgarisdemodexdemodicosisisotretinoinrosace

Identifiers

PMID40433708
PMCPMC12117431

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.