title: [Analysis of facial lesions on adult type atopic dermatitis with anti-fungus drug (terbinafine hydrochloride) -- analysis of serum anti-Malassezia IgE antibody titers and histamine release test].
abstract: Malassezia furfur has been described as an aggravating factor in facial lesions of atopic dermatitis, and oral antifungal agents have been reported to be effective against these lesions. We used terbinafine hydrochloride to treat 15 patients with adult-type atopic dermatitis and evaluated its efficacy by measuring the improvement in facial skin manifestations, serum IgE values, and serum anti-Malassezia IgE antibody titers. A histamine release test (HRT) for Malassezia. was also performed in 6 of the 15 patients. The facial skin manifestations improved in 8 (53.3%) of the 15 patients, and there were significant simultaneous decreases in their serum IgE values. The serum anti-Malassezia IgE antibody titer decreased significantly in all 15 patients. However, no significant correlation was observed between the HRT and the facial skin manifestations. We concluded that oral terbinafine hydrochloride is effective against the facial lesions of atopic dermatitis patients and this is possibly caused by decrease of Malassezia antigen in the facial lesions.
authors.affiliation: Division of Dermatology, Yokohama rosai Hospital. hm4765@yahoo.ac.jp
authors.forename: Hideki
authors.initials: H
authors.lastname: Maejima
authors.forename: Chiharu
authors.initials: C
authors.lastname: Tokunaga
authors.forename: Satoshi
authors.initials: S
authors.lastname: Kaneko
authors.forename: Hideki
authors.initials: H
authors.lastname: Mukai
authors.forename: Akio
authors.initials: A
authors.lastname: Abe
mesh_terms: D000328:Adult; D000908:Antibodies, Fungal / Q000097:blood*; D000935:Antifungal Agents / Q000627:therapeutic use*; D003876:Dermatitis, Atopic / Q000188:drug therapy*; D005148:Facial Dermatoses / Q000188:drug therapy* / Q000276:immunology; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood*; D008290:Malassezia / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D009281:Naphthalenes / Q000627:therapeutic use*; D000077291:Terbinafine
chemical_list: D000908:Antibodies, Fungal; D000935:Antifungal Agents; D009281:Naphthalenes; D007073:Immunoglobulin E; D000077291:Terbinafine