Later, demodicosis may tend to generalize with involvement of the whole body. Bacterial complications can also occur. Hair loss, scales, pustules are observed.
The adult forms can result from a relapse of young demodicosis, a drop in immunity (partum, stress, associated disease, corticosteroid therapy, etc.).
In older animals, the appearance of demodicosis should always raise the suspicion of an intercurrent disease (diabetes, Cushing, cancer, etc.) leading to immunosuppression.
The diagnosis is based on the demonstration of the parasite under the microscope by skin scrapings. For certain particular forms, for example a demodicosis of the legs, the diagnosis is made on skin biopsies.