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Malassezia furfur in infantile seborrheic dermatitis
A Tollesson1, A Frithz, K Stenlund
1Karolinska Institute, Department of Dermatology, Stockholm, Sweden.
Abstract:
Malassezia furfur is important in the pathogenesis of a number of dermatologic diseases including seborrheic dermatitis in adults. It has also recently been suggested that M. furfur might be the etiologic agent in infantile seborrheic dermatitis (ISD). We studied the presence of M. furfur in 21 children with the clinical diagnosis of infantile seborrheic dermatitis. Laboratory analyses showed aberrant patterns of essential fatty acids (EFA) in serum characterized by elevated levels of 18:1w9 and 20:2w6. Samples for M. furfur were taken from the foreheads and chests of children with infantile seborrheic dermatitis at the time of diagnosis, directly after treatment to complete healing, and after 1 year with no signs of infantile seborrheic dermatitis. All the patients were treated topically with borage oil containing 25% gammalinolenic acid (GLA). No reduced growth of M. furfur was seen on contact plates prepared with borage oil. The growth of M. furfur seems not to be related to the clinical symptoms in ISD.
Insights
This study investigated Malassezia furfur in infantile seborrheic dermatitis (ISD), finding no direct link between M. furfur growth and clinical symptoms despite altered essential fatty acids (EFA) in affected children.
Area of Science:
- Dermatology
- Mycology
- Biochemistry
Background:
- Malassezia furfur is implicated in adult seborrheic dermatitis.
- M. furfur is a suspected cause of infantile seborrheic dermatitis (ISD).
- ISD presents with distinct serum essential fatty acid (EFA) abnormalities.
Purpose of the Study:
- To investigate the presence and role of Malassezia furfur in infantile seborrheic dermatitis (ISD).
- To assess the impact of borage oil treatment on M. furfur growth in ISD patients.
Main Methods:
- Studied 21 children diagnosed with ISD.
- Analyzed serum essential fatty acids (EFA).
- Sampled M. furfur from skin, assessed growth on borage oil plates.
Main Results:
- Aberrant EFA patterns, including elevated 18:1w9 and 20:2w6, were observed in ISD patients.
- Topical borage oil treatment did not inhibit M. furfur growth.
- No correlation was found between M. furfur growth and ISD clinical symptoms.
Conclusions:
- Malassezia furfur's role in the pathogenesis of ISD appears limited.
- The study suggests M. furfur is not directly related to clinical manifestations of ISD.
- Further research is needed to understand ISD etiology and EFA alterations.
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