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[Examination of the causative agent of pityriasis versicolor]
Nobuaki Morishita1, Yoshihiro Sei, Iwao Takiuchi
1Department of Dermatology, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
Abstract:
Pityriasis versicolor (PV) is a superficial infection of the stratum corneum caused by Malassezia. Eleven species have been recognized within this genus, namely M. globosa, M. restricta, M. sympodiasis, M. furfur, M. obtusa, M. slooffiae, M. pachydermatis, M. dermatis, M. japonica, M. yamatoensis, M. nana. To examine the distribution of the microorganism in the skin of patients with PV, we detected Malassezia species without M. pachydermatis and M. nana using a non-culture-based method that consisted of nested PCR with specific primers. The most frequently isolated species were M. globosa and M. restricta (both 93.9%). M. globosa was detected in scales in which only the mycelial form (yeast cells, < 10/sample) were observed microscopically; M. restricta was not found. We suggest that M. globosa is the causative agent of PV.
Insights
Pityriasis versicolor (PV) is a skin infection caused by Malassezia yeast. This study suggests Malassezia globosa is the primary cause, detected in most patients using PCR.
Area of Science:
- Mycology
- Dermatology
- Microbiology
Background:
- Pityriasis versicolor (PV) is a superficial skin infection affecting the stratum corneum.
- The genus Malassezia comprises eleven recognized species, implicated in various skin conditions.
- Accurate identification of causative Malassezia species is crucial for understanding PV pathogenesis.
Purpose of the Study:
- To investigate the distribution and prevalence of Malassezia species in patients diagnosed with pityriasis versicolor.
- To differentiate between the yeast and mycelial forms of Malassezia in skin scrapings.
- To identify the specific Malassezia species responsible for causing pityriasis versicolor.
Main Methods:
- A non-culture-based method utilizing nested PCR with specific primers was employed.
- Detection of Malassezia species was performed on skin samples from PV patients.
- Microscopic examination of skin scales was conducted to observe yeast and mycelial forms.
Main Results:
- Malassezia globosa and Malassezia restricta were the most frequently detected species, identified in 93.9% of patients.
- Malassezia globosa was found in scales containing predominantly the mycelial form.
- Malassezia restricta was not detected in its mycelial form, despite its high prevalence as yeast.
Conclusions:
- The findings suggest Malassezia globosa is the primary etiological agent responsible for pityriasis versicolor.
- The study highlights the utility of molecular methods like PCR for accurate fungal identification in skin infections.
- Further research may elucidate the specific role of different Malassezia species and their morphological forms in PV development.
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