Ann Dermatol.  2011 May;23(2):177-184. 10.5021/ad.2011.23.2.177.

Epidemiologic Study of Malassezia Yeasts in Patients with Malassezia Folliculitis by 26S rDNA PCR-RFLP Analysis

Affiliations
  • 1Department of Dermatology, Konkuk University School of Medicine, Seoul, Korea. 20050078@kuh.ac.kr

Abstract

BACKGROUND
So far, studies on the inter-relationship between Malassezia and Malassezia folliculitis have been rather scarce.
OBJECTIVE
We sought to analyze the differences in body sites, gender and age groups, and to determine whether there is a relationship between certain types of Malassezia species and Malassezia folliculitis.
METHODS
Specimens were taken from the forehead, cheek and chest of 60 patients with Malassezia folliculitis and from the normal skin of 60 age- and gender-matched healthy controls by 26S rDNA PCR-RFLP.
RESULTS
M. restricta was dominant in the patients with Malassezia folliculitis (20.6%), while M. globosa was the most common species (26.7%) in the controls. The rate of identification was the highest in the teens for the patient group, whereas it was the highest in the thirties for the control group. M. globosa was the most predominant species on the chest with 13 cases (21.7%), and M. restricta was the most commonly identified species, with 17 (28.3%) and 12 (20%) cases on the forehead and cheek, respectively, for the patient group.
CONCLUSION
Statistically significant differences were observed between the patient and control groups for the people in their teens and twenties, and in terms of the body site, on the forehead only.

Keyword

26S rDNA PCR-RFLP; Malassezia folliculitis; Malassezia yeasts

MeSH Terms

Adolescent
Cheek
DNA, Ribosomal
Epidemiologic Studies
Folliculitis
Forehead
Humans
Malassezia
Skin
Thorax
Yeasts
DNA, Ribosomal

Figure

  • Fig. 1 PCR-RFLP patterns of the 26S rDNA PCR, as digested with Hha I (A) and BstF51 (B), of the 11 Malassezia standard strains. Lanes: M: molecular marker, 1: M. furfur (KCTC 7743), 2: M. sympodialis (KCTC 7985), 3: M. globosa (CBS 7966), 4: M. restricta (KCTC 7848), 5: M. slooffiae (KCTC 17431), 6: M. pachydermatis (KCTC 17008), 7: M. japonica (CBS 9432), 8: M. nana (JCM 12085), 9: M. dermatis (JCM 11348), 10: M. obtusa (KCTC 7847), 11: M. yamatoensis (CBS 9725).

  • Fig. 2 The identified Malassezia species from the Malassezia folliculitis group and as compared with those from the control group by age.

  • Fig. 3 The identified Malassezia species from the Malassezia folliculitis group as compared with those from the healthy control group by the body site.


Reference

1. Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, editors. Fitzpatrick's dermatology in general medicine. 2008. 7th ed. New York: McGraw-Hill;1828–1830.
2. Ahn KJ. Taxonomy of the genus Malassezia. Korean J Med Mycol. 1998. 3:81–88.
3. Rapelanoro R, Mortureux P, Couprie B, Maleville J, Taïeb A. Neonatal Malassezia furfur pustulosis. Arch Dermatol. 1996. 132:190–193.
4. Kim KS, Kye YC, Kim SN, Ahn KJ. A case of neonatal Malassezia pustulosis induced by Malassezia sympodialis. Korean J Dermatol. 2000. 38:1427–1429.
5. Ljubojević S, Skerlev M, Lipozencić J, Basta-Juzbasić A. The role of Malassezia furfur in dermatology. Clin Dermatol. 2002. 20:179–182.
6. Crespo Erchiga V, Delgado Florencio V. Malassezia species in skin diseases. Curr Opin Infect Dis. 2002. 15:133–142.
7. Williamson P, Kligman AM. A new method for the quantitative investigation of cutaneous bacteria. J Invest Dermatol. 1965. 45:498–503.
Article
8. Kim SM, Lim SH, Jung BR, Lee YW, Choe YB, Ahn KJ. The application of colony PCR in the molecular biological analysis of Malassezia yeasts. Korean J Med Mycol. 2007. 12:180–188.
9. Baillon HE. Traité de botanique médicale cryptogamique, suivi du tableau du droguier de la Faculté de médecine de Paris. 1889. Paris: Doin.
10. Guého E, Midgley G, Guillot J. The genus Malassezia with description of four new species. Antonie Van Leeuwenhoek. 1996. 69:337–355.
Article
11. Sugita T, Takashima M, Shinoda T, Suto H, Unno T, Tsuboi R, et al. New yeast species, Malassezia dermatis, isolated from patients with atopic dermatitis. J Clin Microbiol. 2002. 40:1363–1367.
Article
12. Hirai A, Kano R, Makimura K, Duarte ER, Hamdan JS, Lachance MA, et al. Malassezia nana sp. nov., a novel lipid-dependent yeast species isolated from animals. Int J Syst Evol Microbiol. 2004. 54:623–627.
Article
13. Sugita T, Takashima M, Kodama M, Tsuboi R, Nishikawa A. Description of a new yeast species, Malassezia japonica, and its detection in patients with atopic dermatitis and healthy subjects. J Clin Microbiol. 2003. 41:4695–4699.
Article
14. Sugita T, Tajima M, Takashima M, Amaya M, Saito M, Tsuboi R, et al. A new yeast, Malassezia yamatoensis, isolated from a patient with seborrheic dermatitis, and its distribution in patients and healthy subjects. Microbiol Immunol. 2004. 48:579–583.
Article
15. Cabañes FJ, Theelen B, Castellá G, Boekhout T. Two new lipid-dependent Malassezia species from domestic animals. FEMS Yeast Res. 2007. 7:1064–1076.
16. Porro MN, Passi S, Caprill F, Nazzaro P, Morpurgo G. Growth requirements and lipid metabolism of Pityrosporum orbiculare. J Invest Dermatol. 1976. 66:178–182.
17. Terui T, Kudo K, Tagami H. Cutaneous immune and inflammatory reactions to Malassezia furfur. Nippon Ishinkin Gakkai Zasshi. 1999. 40:63–67.
18. Yohn JJ, Lucas J, Camisa C. Malassezia folliculitis in immunocompromised patients. Cutis. 1985. 35:536–538.
19. Ahn KJ. Malassezia species cultured from the lesions of pityriasis versicolor. Korean J Dermatol. 1997. 35:736–743.
20. Ahn KJ, Kim KJ, Yi GJ. Efficacy of one-week regimen of itraconazole for pityriasis versicolor. Korean J Med Mycol. 1999. 4:124–130.
21. Crespo Erchiga V, Ojeda Martos A, Vera Casaño A, Crespo Erchiga A, Sanchez Fajardo F. Malassezia globosa as the causative agent of pityriasis versicolor. Br J Dermatol. 2000. 143:799–803.
22. Nakabayashi A, Sei Y, Guillot J. Identification of Malassezia species isolated from patients with seborrhoeic dermatitis, atopic dermatitis, pityriasis versicolor and normal subjects. Med Mycol. 2000. 38:337–341.
Article
23. Pechère M, Krischer J, Remondat C, Bertrand C, Trellu L, Saurat JH. Malassezia spp carriage in patients with seborrheic dermatitis. J Dermatol. 1999. 26:558–561.
24. Parry ME, Sharpe GR. Seborrhoeic dermatitis is not caused by an altered immune response to Malassezia yeast. Br J Dermatol. 1998. 139:254–263.
Article
25. Lee YW, Kang HJ, Ahn KJ. Malassezia species cultured from the lesions of seborrheic dermatitis. Korean J Med Mycol. 2001. 6:70–76.
26. Jang SJ, Choi YB, Ahn KJ. Malassezia species cultured from the lesions of Malassezia folliculitis. Korean J Med Mycol. 2003. 8:55–62.
27. Weary PE. Pityrosporum ovale: observations on some aspects of host-parasite interrelationship. Arch Dermatol. 1968. 98:408–422.
28. Potter BS, Burgoon CF Jr, Johnson WC. Pityrosporum folliculitis. Report of seven cases and review of the Pityrosporum organism relative to cutaneous disease. Arch Dermatol. 1973. 107:388–391.
Article
29. Bäck O, Faergemann J, Hörnqvist R. Pityrosporum folliculitis: a common disease of the young and middle-aged. J Am Acad Dermatol. 1985. 12:56–61.
30. Akaza N, Akamatsu H, Sasaki Y, Kishi M, Mizutani H, Sano A, et al. Malassezia folliculitis is caused by cutaneous resident Malassezia species. Med Mycol. 2009. 47:618–624.
Article
31. Watanabe S, Kano R, Sato H, Nakamura Y, Hasegawa A. The effects of Malassezia yeasts on cytokine production by human keratinocytes. J Invest Dermatol. 2001. 116:769–773.
Article
32. Kim HJ, Lee MH, Ahn KJ. A case of neonatal Malassezia pustulosis identified as Malassezia sympodialis. Korean J Med Mycol. 2001. 6:229–231.
33. Cuétara MS, Aguilar A, Martin L, Aspiroz C, del Palacio A. Erlotinib associated with rosacea-like folliculitis and Malassezia sympodialis. Br J Dermatol. 2006. 155:477–479.
Article
34. Rhie S, Turcios R, Buckley H, Suh B. Clinical features and treatment of Malassezia folliculitis with fluconazole in orthotopic heart transplant recipients. J Heart Lung Transplant. 2000. 19:215–219.
Article
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