Malassezia (Pityrosporum) Folliculitis Questions & Answers

1. Potter BS, Burgoon CF Jr, Johnson WC. Pityrosporum folliculitis. Report of seven cases and review of the Pityrosporum organism relative to cutaneous disease. Arch Dermatol. 1973 Mar. 107(3):388-91. [QxMD MEDLINE Link].

2. Levin NA. Beyond spaghetti and meatballs: skin diseases associated with the Malassezia yeasts. Dermatol Nurs. 2009 Jan-Feb. 21(1):7-13, 51; quiz 14. [QxMD MEDLINE Link].

3. Gaitanis G, Velegraki A, Mayser P, Bassukas ID. Skin diseases associated with Malassezia yeasts: facts and controversies. Clin Dermatol. 2013 Jul-Aug. 31(4):455-63. [QxMD MEDLINE Link].

4. Gaitanis G, Magiatis P, Hantschke M, Bassukas ID, Velegraki A. The malassezia genus in skin and systemic diseases. Clin Microbiol Rev. 2012 Jan. 25(1):106-41. [QxMD MEDLINE Link].

5. Akaza N, Akamatsu H, Sasaki Y, et al. Malassezia folliculitis is caused by cutaneous resident Malassezia species. Med Mycol. 2009. 47(6):618-24. [QxMD MEDLINE Link].

6. Helm KF, Lookingbill DP. Pityrosporum folliculitis and severe pruritus in two patients with Hodgkin's disease. Arch Dermatol. 1993 Mar. 129(3):380-1. [QxMD MEDLINE Link].

7. Cholongitas E, Pipili C, Ioannidou D. Malassezia folliculitis presented as acneiform eruption after cetuximab administration. J Drugs Dermatol. 2009 Mar. 8(3):274-5. [QxMD MEDLINE Link].

8. Alves EV, Martins JE, Ribeiro EB, Sotto MN. Pityrosporum folliculitis: renal transplantation case report. J Dermatol. 2000 Jan. 27(1):49-51. [QxMD MEDLINE Link].

9. Bufill JA, Lum LG, Caya JG, et al. Pityrosporum folliculitis after bone marrow transplantation. Clinical observations in five patients. Ann Intern Med. 1988 Apr. 108(4):560-3. [QxMD MEDLINE Link].

10. Blaes AH, Cavert WP, Morrison VA. Malassezia: is it a pulmonary pathogen in the stem cell transplant population?. Transpl Infect Dis. 2009 Aug. 11(4):313-7. [QxMD MEDLINE Link].

11. Nasir A, El Bahesh E, Whitten C, Lawson A, Udall JN Jr. Pityrosporum folliculitis in a Crohn's disease patient receiving infliximab. Inflamm Bowel Dis. 2010 Jan. 16(1):7-8. [QxMD MEDLINE Link].

12. Heymann WR, Wolf DJ. Malassezia (Pityrosporon) folliculitis occurring during pregnancy. Int J Dermatol. 1986 Jan-Feb. 25(1):49-51. [QxMD MEDLINE Link].

13. Parlak AH, Boran C, Topcuoglu MA. Pityrosporum folliculitis during pregnancy: a possible cause of pruritic folliculitis of pregnancy. J Am Acad Dermatol. 2005 Mar. 52(3 Pt 1):528-9. [QxMD MEDLINE Link].

14. Kavanagh GM, Leeming JP, Marshman GM, Reynolds NJ, Burton JL. Folliculitis in Down's syndrome. Br J Dermatol. 1993 Dec. 129(6):696-9. [QxMD MEDLINE Link].

15. Klotz SA, Drutz DJ, Huppert M, Johnson JE. Pityrosporum folliculitis. Its potential for confusion with skin lesions of systemic candidiasis. Arch Intern Med. 1982 Nov. 142(12):2126-9. [QxMD MEDLINE Link].

16. Jacinto-Jamora S, Tamesis J, Katigbak ML. Pityrosporum folliculitis in the Philippines: diagnosis, prevalence, and management. J Am Acad Dermatol. 1991 May. 24(5 Pt 1):693-6. [QxMD MEDLINE Link].

17. Bulmer GS, Pu XM, Yi LX. Malassezia folliculitis in China. Mycopathologia. 2008 Jun. 165(6):411-2. [QxMD MEDLINE Link].

18. Prindaville B, Belazarian L, Levin NA, Wiss K. Pityrosporum folliculitis: A retrospective review of 110 cases. J Am Acad Dermatol. 2018 Mar. 78 (3):511-514. [QxMD MEDLINE Link].

19. Back O, Faergemann J, Hornqvist R. Pityrosporum folliculitis: a common disease of the young and middle-aged. J Am Acad Dermatol. 1985 Jan. 12(1 Pt 1):56-61. [QxMD MEDLINE Link].

20. Archer-Dubon C, Icaza-Chivez ME, Orozco-Topete R, Reyes E, Baez-Martinez R, Ponce de Leon S. An epidemic outbreak of Malassezia folliculitis in three adult patients in an intensive care unit: a previously unrecognized nosocomial infection. Int J Dermatol. 1999 Jun. 38(6):453-6. [QxMD MEDLINE Link].

21. Gupta AK, Batra R, Bluhm R, Boekhout T, Dawson TL Jr. Skin diseases associated with Malassezia species. J Am Acad Dermatol. 2004 Nov. 51(5):785-98. [QxMD MEDLINE Link].

22. Levy A, Feuilhade de Chauvin M, Dubertret L, Morel P, Flageul B. [Malassezia folliculitis: characteristics and therapeutic response in 26 patients]. Ann Dermatol Venereol. 2007 Nov. 134(11):823-8. [QxMD MEDLINE Link].

23. Rubenstein RM, Malerich SA. Malassezia (pityrosporum) folliculitis. J Clin Aesthet Dermatol. 2014 Mar. 7(3):37-41. [QxMD MEDLINE Link]. [Full Text].

24. Gupta P, Chakrabarti A, Singhi S, Kumar P, Honnavar P, Rudramurthy SM. Skin Colonization by Malassezia spp. in Hospitalized Neonates and Infants in a Tertiary Care Centre in North India. Mycopathologia. 2014 Jul 19. [QxMD MEDLINE Link].

25. Aytimur D, Sengöz V. Malassezia folliculitis on the scalp of a 12-year-old healthy child. J Dermatol. 2004 Nov. 31(11):936-8. [QxMD MEDLINE Link].

26. Jakhar D, Kaur I, Chaudhary R. Dermoscopy of pityrosporum folliculitis. J Am Acad Dermatol. 2019 Feb. 80 (2):e43-e44. [QxMD MEDLINE Link].

27. Ayers K, Sweeney SM, Wiss K. Pityrosporum folliculitis: diagnosis and management in 6 female adolescents with acne vulgaris. Arch Pediatr Adolesc Med. 2005 Jan. 159(1):64-7. [QxMD MEDLINE Link].

28. Yu HJ, Lee SK, Son SJ, Kim YS, Yang HY, Kim JH. Steroid acne vs. Pityrosporum folliculitis: the incidence of Pityrosporum ovale and the effect of antifungal drugs in steroid acne. Int J Dermatol. 1998 Oct. 37(10):772-7. [QxMD MEDLINE Link].

29. Shibata N, Saitoh T, Tadokoro Y, Okawa Y. The cell wall galactomannan antigen from Malassezia furfur and Malassezia pachydermatis contains beta-1,6-linked linear galactofuranosyl residues and its detection has diagnostic potential. Microbiology. 2009 Oct. 155:3420-9. [QxMD MEDLINE Link].

30. Faergemann J, Bergbrant IM, Dohse M, Scott A, Westgate G. Seborrhoeic dermatitis and Pityrosporum (Malassezia) folliculitis: characterization of inflammatory cells and mediators in the skin by immunohistochemistry. Br J Dermatol. 2001 Mar. 144(3):549-56. [QxMD MEDLINE Link].

31. Elmets CA. Management of common superficial fungal infections in patients with AIDS. J Am Acad Dermatol. 1994 Sep. 31(3 Pt 2):S60-3. [QxMD MEDLINE Link].

32. Ferrandiz C, Ribera M, Barranco JC, Clotet B, Lorenzo JC. Eosinophilic pustular folliculitis in patients with acquired immunodeficiency syndrome. Int J Dermatol. 1992 Mar. 31(3):193-5. [QxMD MEDLINE Link].

33. Hald M, Arendrup MC, Svejgaard EL, Lindskov R, Foged EK, Saunte DM. Evidence-based Danish Guidelines for the Treatment of Malassezia-related Skin Diseases. Acta Derm Venereol. 2014 Feb 20. [QxMD MEDLINE Link].

34. Prohic A, Jovovic Sadikovic T, Krupalija-Fazlic M, Kuskunovic-Vlahovljak S. Malassezia species in healthy skin and in dermatological conditions. Int J Dermatol. 2015 Dec 29. [QxMD MEDLINE Link].

35. Viana de Andrade AC, Pithon MM, Oiticica OM. Pityrosporum folliculitis in an immunocompetent patient: clinical case description. Dermatol Online J. 2013 Aug 15. 19(8):19273. [QxMD MEDLINE Link].

36. Pedrosa AF, Lisboa C, Gonçalves Rodrigues A. Malassezia infections: a medical conundrum. J Am Acad Dermatol. 2014 Jul. 71 (1):170-6. [QxMD MEDLINE Link].

37. Friedman SJ. Pityrosporum folliculitis: treatment with isotretinoin. J Am Acad Dermatol. 1987 Mar. 16(3 Pt 1):632-3. [QxMD MEDLINE Link].

38. Goodfield MJ, Saihan EM. Failure of isotretinoin therapy in Pityrosporum folliculitis. J Am Acad Dermatol. 1988 Jan. 18(1 Pt 1):143-4. [QxMD MEDLINE Link].

39. Lee JW, Lee HI, Kim MN, Kim BJ, Chun YJ, Kim D. Topical photodynamic therapy with methyl aminolevulinate may be an alternative therapeutic option for the recalcitrant Malassezia folliculitis. Int J Dermatol. 2011 Apr. 50(4):488-90. [QxMD MEDLINE Link].

40. Longley BJ, Hinshaw M. Fungal Diseases. Elder DE, Elenitas R, Rosenbach M, Murphy GF, Rubin AI, Xu X, eds. Lever's Histopathology of the Skin. 11th ed. Philadelphia, Pa: Wolters Kluwer; 2014. 727-60.

Sarah Sweeney Pinney, MD, FAAD Dermatologist, Clear Dermatology

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Rashid M Rashid, MD, PhD Director, Mosaic Clinic Hair Transplant Center of Houston

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Ronald P Rapini, MD Professor and Chair, Department of Dermatology, The University of Texas MD Anderson Cancer Center; Distinguished Chernosky Professor and Chair of Dermatology, Professor of Pathology, University of Texas McGovern Medical School at Houston

Ronald P Rapini, MD is a member of the following medical societies: American Academy of Dermatology, American Dermatological Association, American Medical Association, American Society for Dermatologic Surgery, American Society for MOHS Surgery, American Society of Dermatopathology, Association of Professors of Dermatology, Society for Investigative Dermatology, Texas Dermatological Society

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Michael J Wells, MD, FAAD Dermatologic/Mohs Surgeon, The Surgery Center at Plano Dermatology

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William D James, MD Paul R Gross Professor of Dermatology, Vice-Chairman, Residency Program Director, Department of Dermatology, University of Pennsylvania School of Medicine

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Daniel J Hogan, MD Clinical Professor of Internal Medicine (Dermatology), Nova Southeastern University College of Osteopathic Medicine; Investigator, Hill Top Research, Florida Research Center

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Stephen H Mason, MD

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