Morishita Nobuaki, Sei Yoshihiro, Takiuchi Iwao, Sugita Takashi
Department of Dermatology, Showa University Fujigaoka Hospital, Yokohama, Kanagawa, Japan.
Nihon Ishinkin Gakkai Zasshi. 2005;46(3):169-70. doi: 10.3314/jjmm.46.169.
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.
花斑糠疹(PV)是由马拉色菌引起的角质层浅表感染。该属已确认有11个种,即球形马拉色菌、限制马拉色菌、合轴马拉色菌、糠秕马拉色菌、钝形马拉色菌、斯洛菲马拉色菌、厚皮马拉色菌、皮肤马拉色菌、日本马拉色菌、大和马拉色菌、矮小马拉色菌。为研究该微生物在花斑糠疹患者皮肤中的分布情况,我们采用一种非培养方法检测了除厚皮马拉色菌和矮小马拉色菌外的马拉色菌种,该方法包括使用特异性引物进行巢式PCR。最常分离出的菌种是球形马拉色菌和限制马拉色菌(均为93.9%)。在显微镜下仅观察到菌丝形式(酵母细胞,<10/样本)的鳞屑中检测到球形马拉色菌;未发现限制马拉色菌。我们认为球形马拉色菌是花斑糠疹的病原体。