Malassezia
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| Malassezia furfur | ||||||||||||||
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| Image:Malassezia furfur in skin scale from a patient with tinea versicolor PHIL 3938 lores.jpg Malassezia furfur in skin scale from a patient with tinea versicolor
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Malassezia (formerly known as Pityrosporum) is a genus of related fungi, classified as yeasts, naturally found on the skin surfaces of many animals and humans. It can cause hypopigmentation on the chest or back if it becomes an opportunistic infection.
Changes in nomenclature
Some confusion exists about the naming and classification of Malassezia yeast species due to a series of changes in their nomenclature. Malassezia were originally identified by the French scientist Malassez in the late 19th century, hence their proper current name. In the mid 20th century they were reclassified into two species: Pityrosporum ovale which is lipid dependent and found only on humans, and Pityrosporum pachydermatis, which is lipophyllic but not lipid dependent and found on the skin of most animals. P. ovale was later divied into two classes, P. ovale and P. orbiculare, and later renamed again as Malassezia furfur. Work on these yeasts was complicated because they are extremely difficult to propogate in laboratory culture.
Later, in the mid 1990s, scientists at the Pasteur Institute in Paris, France (Evelyn Gueho and Jacques Guillot) discovered that there were indeed multiple species and correctly reclassified and named the genus as Malassezia with several distinct species. Currently there are 10 recognized species: globosa, restricta, furfur, slooffiae, symposialis, nana, yamatoensis, dermatis, obtusa, and pachydermatis.
Role in human diseases
Recently, identification of Malassezia on skin has been aided by the application of molecular or DNA based techniques very similar to those used by forensic scientists to identify criminal suspects. These investigations show that in humans the species causing most skin disease, including the most common cause of dandruff and seborrhoeic dermatitis is M. globosa. The skin rash of tinea versicolor (pityriasis versicolor) is also due to infection by this fungi.
As the fungus requires fat to grow, it is most common in areas with many sebaceous glands: on the scalp, face, and upper part of the body. When the fungus grows too rapidly, the natural renewal of cells is disturbed and dandruff appears with itching (a similar process may also occur with other fungi or bacteria).
References
- Ashbee H, Evans E (2002). "Immunology of diseases associated with Malassezia species". Clin Microbiol Rev 15 (1): 21-57. PMID 11781265.
- Batra R, Boekhout T, Guého E, Cabañes F, Dawson T, Gupta A (2005). "Malassezia Baillon, emerging clinical yeasts". FEMS Yeast Res 5 (12): 1101-13. PMID 16084129.
- Gemmer C, DeAngelis Y, Theelen B, Boekhout T, Dawson Jr T (2002). "Fast, noninvasive method for molecular detection and differentiation of Malassezia yeast species on human skin and application of the method to dandruff microbiology". J Clin Microbiol 40 (9): 3350-7. PMID 12202578.
- Guého E, Midgley G, Guillot J (1996). "The genus Malassezia with description of four new species". Antonie Van Leeuwenhoek 69 (4): 337-55. PMID 8836432.
- Gupta A, Batra R, Bluhm R, Boekhout T, Dawson T (2004). "Skin diseases associated with Malassezia species". J Am Acad Dermatol 51 (5): 785-98. PMID 15523360.
- Gupta A, Kohli Y, Faergemann J, Summerbell R (2001). "Epidemiology of Malassezia yeasts associated with pityriasis versicolor in Ontario, Canada". Med Mycol 39 (2): 199-206. PMID 11346269.
- Gupta A, Kohli Y, Summerbell R, Faergemann J (2001). "Quantitative culture of Malassezia species from different body sites of individuals with or without dermatoses". Med Mycol 39 (3): 243-51. PMID 11446527.
- Nakabayashi A, Sei Y, Guillot J (2000). "Identification of Malassezia species isolated from patients with seborrhoeic dermatitis, atopic dermatitis, pityriasis versicolor and normal subjects". Med Mycol 38 (5): 337-41. PMID 11092380.
- Nell A, James S, Bond C, Hunt B, Herrtage M (2002). "Identification and distribution of a novel Malassezia species yeast on normal equine skin". Vet Rec 150 (13): 395-8. PMID 11999275.
- Sugita T, Takashima M, Shinoda T, Suto H, Unno T, Tsuboi R, Ogawa H, Nishikawa A (2002). "New yeast species, Malassezia dermatis, isolated from patients with atopic dermatitis". J Clin Microbiol 40 (4): 1363-7. PMID 11923357.
External links
- IJMS Vol 29 No. 4 March 2004
- aafp Diagnosis and Managment of Common Tinea Infections July 1998de:Malassezia furfur
Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
