Abstract
Pityriasis versicolor is a superficial infection of the stratum corneum by several yeast species formerly collectively named Malassezia furfur. The genus Malassezia has been recently enlarged with new species. With the exception of M. pachydermatis, the remaining six species have an absolute requirement in vitro for supplementation of long-chain fatty acids in media. These lipophilic yeasts comprise six species: M. furfur, M. globosa, M. obtusa, M. restricta, M. slooffiae and M. sympodialis. The aim of this study was to establish whether there was any association between the various species of Malassezia and pityriasis versicolor lesions. Thus, we studied the isolates from 79 patients with pityriasis versicolor, both from lesions and from apparently healthy skin close to the visible lesions. In pityriasis versicolor lesions, the species most frequently isolated was M. globosa (90%), followed by M. sympodialis (41%). Almost all isolates (99%) belonged to one of these two species. The most frequent pattern was M. globosa as the sole species (58% of cases), although the association with M. sympodialis was also frequent (30%). These results confirmed M. globosa as the main agent of pityriasis versicolor and M. sympodialis as the second agent in importance. Malassezia globosa was found to be a species with high levels of esterase and lipase enzymes of probable importance in their pathogenicity.
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References
Ingham E, Cunningham AC. Malassezia furfur. J Med Vet Mycol 1993; 31: 265–288.
Schmidt A. Malassezia furfur: A fungus belonging to the physiological skin flora and its relevance in skin disorders. Cutis 1997; 59: 21–24.
Faergemann J. Pityrosporum infections. J Am Acad Dermatol 1994; 31: Suppl. 18–20.
Marcon MJ, Powell DA. Human infections due to Malassezia spp. Clin Microbiol Rev 1992; 5: 101–119.
Drake LA, Dinehart SM, Farmer ER, et al. Guidelines of care for superficial mycotic infections of the skin: Pityriasis (tinea) versicolor. J Am Acad Dermatol 1996; 34: 287–289.
Guého E, Midgley G, Guillot J. The genus Malassezia with description of four new species. Antonie van Leeuwenhoek 1996; 69: 337–355.
Guého E, Boekhout T, Ashbee HR, Guillot J, Van Belkum A, Faergemann J. The role of Malassezia species in the ecology of human skin and as pathogens. Med Mycol 1998; 36: Suppl. 220–229.
Midgley G. The diversity of Pityrosporum (Malassezia) yeasts in vivo and in vitro. Mycopathologia 1989; 106: 143–153.
Cunningham AC, Leeming JP, Ingham E, Gowland G. Differentiation of three serovars of Malassezia furfur. J Appl Bacteriol 1990; 68: 439–446.
Ashbee HR, Ingham E, Holland KT, Cunliffe WJ. The carriage of Malassezia furfur serovars A, B and C in patients with pityriasis versicolor, seborrhoeic dermatitis and controls. Br J Dermatol 1993; 129: 533–540.
Aspiroz C, Moreno LA, Rezusta A, Rubio C. Differentiation of three biotypes of Malassezia species on human normal skin. Correspondence with M. globosa, M. sympodialis and M. restricta. Mycopathologia 1999; 145: 69–74.
Guillot J, Guého E, Lesourd M. et al. Identification of Malassezia species. A practical approach. J Mycol Med 1996; 6: 103–110.
Mayser P, Haze P, Papavassilis C, Pickel M, Gruender K, Guého E. Differentiation of Malassezia species: selectivity of Cremophor EL, castor oil and ricinoleic acid for M. furfur. Br J Dermatol 1997; 137: 208–213.
Moreno LA, Rezusta A, Rubio-Calvo MC. Malassezia genus: Morphologic and biochemical characters. Preliminary study. Proceedings of the XI Congress of the International Society for Human and Animal Mycology. Montréal, 1991. PS2.44.
Leeming J, Notman FH. Improved methods for isolation and enumeration of Malassezia furfur from human skin. J Clin Microbiol 1987; 25: 2017–2019.
Keyworth N, Millar MR, Holland KT. Swab-wash method for quantitation of cutaneous microflora. J Clin Microbiol 1990; 28: 941–943.
Burke RC. Tinea versicolor: Susceptibility factors and experimental infection in human beings. J Invest Dermatol 1961; 36: 389–402.
Roberts SOB. Pityriasis versicolor: a clinical and mycological investigation. Br J Dermatol 1969; 81: 315–326.
Crespo V, Ojeda A, Vera A, Crespo A, Sanchez F, Guého E. Mycology of pityriasis versicolor. J Mycol Med 1999; 9: 143–148.
Crespo V, Ojeda A, Vera A, Crespo A, Sanchez F. Malassezia globosa as the causative agent of pityriasis versicolor. Br J Dermatol 2000; 143: 799–803.
Boekhout T, Kamp M, Guého E. Molecular typing of Malassezia species with PFGE and RAPD. Med Mycol 1998; 36: 365–372.
Sunenshine PJ, Schwartz RA, Janninger CK. Tinea versicolor. Int J Dermatol 1998; 37: 648–655.
Burke RC. Tinea versicolor. Susceptibility factors and experimental infections in human beings. J Invest Dermatol 1961; 36: 398–402.
Hay RJ. Yeast infections. Dermatol Clin 1996; 14: 113–124.
Ashbee HR, Ingham E, Holland KT, Cunliffe WJ. Cellmediated immune responses to Malassezia furfur serovars A, B and C in patients with pityriasis versicolor, seborrheic dermatitis and controls. Exp Dermatol 1994; 3: 106–112.
Ashbee HR, Fruin A, Holland KT, Cunliffe WJ, Ingham E. Humoral immunity to Malassezia furfur serovars A, B and C in patients with pityriasis versicolor, seborrheic dermatitis and controls. Exp Dermatol 1994; 3: 227–233
Silva V, Fischman O, de Camargo ZP. Humoral immune response to Malassezia furfur in patients with pityriasis versicolor and seborrheic dermatitis. Mycopathologia 1997; 139: 79–85.
Parry ME, Sharpe GR. Seborrhoeic dermatitis is not caused by an altered immune response to Malassezia yeast. Br J Dermatol 1998; 139: 254–263.
Bergbrant IM, Andersson B, Faergemann J. Cell-mediated immunity to Malassezia furfur in patients with seborrhoeic dermatitis and pityriasis versicolor. Clin Exp Dermatol 1999; 24: 402–406.
Saadatzadeh MR, Ashbee HR, Cunliffe WJ, Ingham E. Cellmediated immunity to the mycelial phase of Malassezia spp. in patients with pityriasis versicolor and controls. Br J Dermatol 2001; 144: 77–84.
Kahlke B, Brasch J, Cristophers E, Schroder JM. Dermatophytes contain a novel lipid-like leukocyte activator. J Invest Dermatol 1996; 107: 108–112.
De Luca C, Picardo M, Breathnach A, Passi S. Lipoperoxidase activity of Pityrosporum: characterisation of by-products and possible role in pityriasis versicolor. Exp Dermatol 1996; 5: 49–56.
Riciputo RM, Oliveri S, Micali G, Sapuppo A. Phospholipase activity in Malassezia furfur pathogenic strains. Mycoses 1996; 39: 233–235.
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Aspiroz, C., Ara, M., Varea, M. et al. Isolation of Malassezia globosa and M. sympodialis from patients with pityriasis versicolor in Spain. Mycopathologia 154, 111–117 (2002). https://doi.org/10.1023/A:1016020209891
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DOI: https://doi.org/10.1023/A:1016020209891