Malassezia folliculitis induced by prolonged oral corticosteroid: A case report
DOI:
https://doi.org/10.66344/jpad.34.1.2024.2364Keywords:
Malassezia folicullitis, Dermoscopy, Oral corticosteroidAbstract
Malassezia folliculitis (MF) is a persistent contamination of the pilosebaceous follicles caused by a skin fungus Malassezia Sp. MF consequences from overgrowth of yeast present in the normal cutaneous flora. Eruptions can be related to situations such as immunosuppression and antibiotic use. The object of the study is to present a case report of a male patient, age 27, who provided an overview of Malassezia-associated skin diseases induced by long-term oral corticosteroids along with diagnostic techniques and treatment options
References
1. Prindaville B, Belazarian L, Levin NA, Wiss K. Pityrosporum folliculitis: a retrospective review of 110 cases. J Am Acad Dermatol. 2018;78(3):511–14.
2. Gaitanis G, Magiatis P, Hantschke M, Bassukas ID, Velegraki A. The Malassezia genus 79 in skin and systemic diseases. Clin Microbiol Rev. 2012;25(1):106-41.
3. Hill MKGoodfield MJRodgers FGCrowley JLSaihan EM Skin surface electron microscopy in Pityrosporum folliculitis: the role of follicular occlusion in disease and the response to oral ketoconazole. Arch Dermatol. 1990;126:1071-4.
4. Zaenglein AL, Graber EM, Thiboutor DM. Acne Vulgaris and Acneiform Eruptions. editors. Fitzpatrick's Dermatology 9th Ed. New York: McGraw-Hill Education; 2019.p. 1884–91
5. Errichetti E, Stinco G. Dermoscopy in general dermatology: a practical overview. Dermatol Ther (Heidelb). 2016;6(4):471-507.
6. Andersen, A. J. B., Fuchs, C., Ardigo, M., Haedersdal, M., and Mogensen, M. In vivo characterization of pustules in Malassezia Folliculitis by reflectance confocal microscopy and optical coherence tomography. Skin Res Technol. 2018;24: 535–41.
7. Abdel-Razek MFadaly GAbdel-Raheim MAl-Morsy F Pityrosporum (Malassezia) folliculitis in Saudi Arabia: diagnosis and therapeutic trials. Clin Exp Dermatol. 1995;20406-40.
8. Leong, C., Buttafuoco, A., Glatz, M., and Bosshard, P.P. Antifungal susceptibility testing of Malassezia spp. with an optimized colorimetric broth microdilution method. J Clin Microbiol. 2017;55;1883–93.
9. Mathur, M., Acharya, P., Karki, A., KC, N., and Shah, J. Dermoscopic pattern of pityriasis versicolor. Clin Cosmet Investig Dermatol. 2019;12:303–9.
10. Grice, E. A., and Dawson, T. L. Host–microbe interactions:Malassezia and human skin. Curr Opin Microbiol. 2017;40:81–7.
11. Honnavar, P., Ghosh, A. K., Paul, S., Shankarnarayan, S. A., Singh, P., Dogra, S., et al. Identification of Malassezia species by MALDI-TOF MS after expansion of database. Diagn. Microbiol. Infect. Dis. 2018;92:118–23.
12. Nowicka, D., and Nawrot, U. Contribution of Malassezia spp. to the development of atopic dermatitis. Mycoses. 2019;62:588–96.
13. Prohic, A., Jovovic Sadikovic, T., Krupalija-Fazlic,M., and Kuskunovic Vlahovljak, S. Malassezia species in healthy skin and in dermatological conditions. Int. J. Dermatol. 2016:55:494–504.
14. Romero-Sandoval, K., Costa, A. A., Teixeira Sousa, M. G., Furucho, C. R., Valente, N., Criado, P. R., et al. Recurrent and disseminated pityriasis versicolor: a novel clinical form consequent to Malassezia-host interaction? Med. Hypothes. 2017;109:139–44.
15. Wikramanayake, T. C., Borda, L. J., Miteva, M., and Paus, R. Seborrheic dermatitis-Looking beyond Malassezia. Exp. Dermatol. 2019;28:991–1001.
16. Tu W, Chin S, Chou C, Hsu C, Chen Y, Liu D, et al. Utility of Gram staining for diagnosis of Malassezia folliculitis. J Dermatol. 2017;45(2):228–31.
17. Petrokilidou, C., Pavlou, E., Gaitanis, G., Bassukas, I. D., Saridomichelakis, M. N., Velegraki, A., et al. (2019). The lipid profile of Malassezia species assessed by Raman spectroscopy and discriminant analysis. Mol. Cell. Probes. 2019;46:101416.
18. Peano, A., Pasquetti, M., Tizzani, P., Chiavassa, E., Guillot, J., and Johnson, E. Methodological issues in antifungal susceptibility testing of Malassezia pachydermatis. J Fungi (Basel). 2017;3(3):37.
19. Mahmoudabadi AZ, Zarrin M, Mehdinezhad F. Seborrheic dermatitis due to Malassezia species in Ahvaz, Iran. Iran J Microbiol. 2013;5(3):268-71.
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