Department of Dermatology, Zealand University Hospital, Roskilde, Denmark.
Department of Clinical Medicine, Health Sciences Faculty, University of Copenhagen, Copenhagen, Denmark.
J Eur Acad Dermatol Venereol. 2023 Jul;37(7):1268-1275. doi: 10.1111/jdv.18982. Epub 2023 Mar 13.
Malassezia is a lipophilic yeast that is a part of the human mycobiome. Malassezia folliculitis appears when the benign colonization of the hair follicles, by the Malassezia yeasts, becomes symptomatic with pruritic papules and pustules. Although Malassezia folliculitis is common in hospital departments, diagnosing and treating it varies among dermatologists and countries. The European Academy of Dermatology and Venereology Mycology Task Force Malassezia folliculitis working group has, therefore, sought to develop these recommendations for the diagnosis and management of Malassezia folliculitis. Recommendations comprise methods for diagnosing Malassezia folliculitis, required positive findings before starting therapies and specific treatment algorithms for individuals who are immunocompetent, immunocompromised or who have compromised liver function. In conclusion, this study provides a clinical strategy for diagnosing and managing Malassezia folliculitis.
马拉色菌是一种亲脂性酵母,是人体真菌组的一部分。当毛囊内的马拉色菌良性定植出现瘙痒性丘疹和脓疱等症状时,就会出现糠秕马拉色菌性皮炎。尽管糠秕马拉色菌性皮炎在医院科室中很常见,但皮肤科医生和不同国家的医生在其诊断和治疗方面存在差异。因此,欧洲皮肤病学和性病学会真菌学工作组糠秕马拉色菌性皮炎工作组寻求制定这些关于糠秕马拉色菌性皮炎的诊断和管理建议。建议包括糠秕马拉色菌性皮炎的诊断方法、开始治疗前所需的阳性发现以及针对免疫功能正常、免疫功能低下或肝功能受损个体的具体治疗方案。总之,本研究为诊断和管理糠秕马拉色菌性皮炎提供了一种临床策略。