Exuberant clinical presentation of probable Malassezia folliculitis in a young nonimmunosuppressed patient.
Malassezia folliculitis is an inflammatory disorder observed in both immunocompetent and immunosuppressed patients. The authors describe an unusual and exuberant presumed case affecting the face, trunk and upper limbs of a 12-year-old nonimmunosuppressed patient. Although the agent was not identified by culture, the clinical and histopathological aspects plus the response to specific treatment support the diagnosis of Malassezia folliculitis. The only possible predisponent cause observed on the patient was greasy skin. Repetitive cultures were negative. Treatment with itraconazol promoted apparent cure, however, the patient relapsed twelve months later.
Dermatology and Radiotherapy Department, Medical School of Botucatu, Paulista State University Julio de Mesquita Filho, SP, Brazil. smarques@fmb.unesp.br
Silvio Alencar
SA
Marques
Sabrina Bortoletto Gomes da
SB
Silva
Rosangela Maria Pires de
RM
Camargo
Hamilton Ometto
HO
Stolf
Mariangela Esther Alencar
ME
Marques
D000935:Antifungal Agents / Q000627:therapeutic use; D002648:Child; D003881:Dermatomycoses / Q000382:microbiology* / Q000473:pathology; D005499:Folliculitis / Q000382:microbiology* / Q000473:pathology; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008290:Malassezia / Q000302:isolation & purification*; D008297:Male; D012720:Severity of Illness Index
D000935:Antifungal Agents; D017964:Itraconazole