Rubenstein Richard M, Malerich Sarah A
Wellington Regional Medical Center Dermatology Program, Wellington, Florida.
Lake Erie College of Osteopathic Medicine, Bradenton, Florida.
J Clin Aesthet Dermatol. 2014 Mar;7(3):37-41.
Malassezia (Pityrosporum) folliculitis is a fungal acneiform condition commonly misdiagnosed as acne vulgaris. Although often associated with common acne, this condition may persist for years without complete resolution with typical acne medications. Malassezia folliculitis results from overgrowth of yeast present in the normal cutaneous flora. Eruptions may be associated with conditions altering this flora, such as immunosuppression and antibiotic use. The most common presentation is monomorphic papules and pustules, often on the chest, back, posterior arms, and face. Oral antifungals are the most effective treatment and result in rapid improvement. The association with acne vulgaris may require combinations of both antifungal and acne medications. This article reviews and updates readers on this not uncommon, but easily missed, condition.
马拉色菌(糠秕孢子菌)毛囊炎是一种真菌性痤疮样病症,常被误诊为寻常痤疮。尽管它常与寻常痤疮相关,但这种病症可能持续数年,使用典型的痤疮药物也无法完全治愈。马拉色菌毛囊炎是由正常皮肤菌群中酵母过度生长引起的。皮疹可能与改变这种菌群的情况有关,如免疫抑制和使用抗生素。最常见的表现是单形性丘疹和脓疱,通常出现在胸部、背部、上臂后部和面部。口服抗真菌药是最有效的治疗方法,能迅速改善症状。与寻常痤疮的关联可能需要同时使用抗真菌药和痤疮药物。本文对这种虽不罕见但易被漏诊的病症进行综述并向读者提供最新信息。