A second case of rosacea-like demodicosis in an HIV-positive child was
seen at our center. No such cases have previously been published. The
present case is a 2-year-old boy, the son of an HIV-positive mother,
who responded well to oral erythromycin and topical metronidazole. The
frequency of rosacea-like eruptions in HIV-negative children is very
low. However, the incidence of these eruptions in HIV-positive childre
n may have been underestimated. The pathogenic role of Demodex mites i
s discussed as well as the possible mechanisms for an exaggerated reac
tion.