Korean J Med Mycol.  1998 Jun;3(1):24-32.

The Incidences of Malassezia in Steroid Acne and Other Acneiform Eruptions

• Yu HJ
• Kim YS
• Yang HY
• Kim JH
• Lee SK
• Son SJ

Abstract

BACKGROUND: Steroid acne is a folliculitis that can result from a systemic or topical administration of steroid and has been described as showing similar clinical pictures to Malassezia folliculitis, but there have been few reports about the incidence of Malassezia in steroid acne and other acneiform eruptions.
OBJECTIVE
Our purpose was to describe the incidences of Malassezia in acneiform eruptions and to discuss about the relationship between clinical steroid acne and Malassezia folliculitis.
METHODS
The history, clinical features, direct microscopy, histopathological analysis, and therapeutic results of 125 cases with steroid acne or other acneiform eruptions were described and compared.
RESULTS
Over 80% of patients with acneiform eruption receiving systemic steroid revealed significant numbers of Malassezia in the lesional follicle.
CONCLUSION
Steroid acne and other acneiform eruptions showing discrete follicular papules and/or pustules localized to the upper trunk or acneiform facial skin lesions associated with multiple acneiform lesions on the body in the summer period should be suspected as Malassezia folliculitis.

Keyword

Steroid acne; Malassezia

MeSH Terms

Acne Vulgaris*
Acneiform Eruptions*
Administration, Topical
Folliculitis
Humans
Incidence*
Malassezia*
Microscopy
Skin