Treatment of Demodex Folliculitis

Demodex are microscopic mites that can live around hair follicles. When their number or the skin's inflammatory response becomes a problem, follicles may develop clusters of itchy or rough bumps, redness, or pimple-like spots. The appearance can overlap with ordinary [Folliculitis](/conditions/folliculitis/), acne or irritation, so a clinician may inspect the skin closely and sometimes sample material from its surface. The scalp, cheeks, nose and eyelid area may need different assessment.

Use gentle cleansing, avoid picking or harsh scrubs, and pause products that sting until the skin has been assessed. A dermatologist may prescribe a topical medicine aimed at the suspected mites or inflammation. Antibiotics are not automatically useful for Demodex itself, although a clinician may use [Antibiotics For Skin Infection](/treatments/medical-dermatology/antibiotic-therapy-for-skin-infection/) when a separate bacterial infection is present. Follow the treatment schedule and avoid sharing face towels or cosmetics.

Related symptoms include [Pimples](/symptoms/pimples/) and [Skin Bumps](/symptoms/skin-bumps/).

Arrange prompt review if redness is spreading, pain is increasing, pus is forming, or the area feels hot. Seek urgent care for swelling around the eye, vision changes, fever with rapidly worsening skin, or severe facial swelling. A persistent rash that does not respond to an initial plan needs reassessment rather than repeated self-treatment.

Ask how the diagnosis was confirmed, which areas should receive treatment, how long to continue it, and whether another condition could be causing the bumps. Ask whether [Topical Antibiotic Therapy](/treatments/medical-dermatology/topical-antibiotic-therapy/) is relevant only if bacterial infection is suspected.