MB7_OA_Reena 1 edit

Background: Pityriasis versicolor (PV), also known as tinea versicolor, is a chronic, mild, superficial and recurrent infection of the stratum corneum, caused by different Malassezia spp and seen predominantly in young age group and primarily in hot and humid climates. The aim of this study was to analyze epidemiological parameters and risk factors association in clinically diagnosed PV cases and also the mycological evaluation of those PV cases. Methods: A total of 116 patients attending the OPD of Dermatology were included and analysed for detailed history, clinical examination, epidemiological parameters, risk factors and investigations. Skin scrapings collected were processed by direct microscopy with 10% KOH and culture in modified Dixon agar (mDA). Isolates were identified by colony morphology, gram staining, biochemical characteristics & tween assimilation test. Results: Females were more affected (56.03%) than the males (43.97%) with F: M ratio 1.27:1. PV affected most commonly (36.21%) in 11-20 years of age group. Students (32.29%) were affected in maximum. Majority of affected patients (65.52%) used oily body creams, whereas 34.48% cases shared their body towels with others. 10.34% cases were associated with seborrheic dermatitis. Seasonal occurrence mostly seen in May August. Patients with type III (Medium) complexion (56.03%) with normal skin texture (49.14%) were mostly affected. Maximum patients (74.14%) were associated with excessive sweating. 18.96% patients were associated with Type II DM. Most of the cases presented with macular, scaly hypopigmented, bilaterally asymmetrically distributed and having well defined margin. Neck was the most affected site (28.45%) followed by back (20.69%). Conclusion: M.furfur was the most common isolate (47.06%) followed by M. globosa (24.71%) and M. sympodialis (15.29%).

[1]  V. Remya,et al.  A study on malassezia micro flora in the skin of healthy individuals in North Kerala, India , 2017 .

[2]  S. Dogra,et al.  Malassezia arunalokei sp. nov., a Novel Yeast Species Isolated from Seborrheic Dermatitis Patients and Healthy Individuals from India , 2016, Journal of Clinical Microbiology.

[3]  T. Ruzicka,et al.  The spectrum of Malassezia species isolated from students with pityriasis vesicolor in Nigeria , 2015, Mycoses.

[4]  S. C. Agarwal,et al.  Isolation and Characterization of Different Malassezia Species from Pityriasis Versicolor Patients in Tertiary Care Hospital in Assam. , 2015 .

[5]  A. Nandi,et al.  A Study of Prevalence of Different species of Malassezia Causing Pityriasis Versicolor and Seasonal Variation as Predisposing Factor in a Tertiary Care Hospital in Kolkata , 2015 .

[6]  Ankit Kaushik,et al.  A study of the prevalence and precipitating factors of pruritus in pityriasis versicolor , 2014, Indian dermatology online journal.

[7]  A. Labeeb,et al.  Malassezia species isolated from lesional and nonlesional skin in patients with pityriasis versicolor , 2013 .

[8]  Juliano Oliveira Santana,et al.  Pityriasis versicolor: clinical-epidemiological characterization of patients in the urban area of Buerarema-BA, Brazil , 2013, Anais brasileiros de dermatologia.

[9]  M. Soltani,et al.  Molecular Characterization of Malassezia Species Isolated from Dog with and Without Otitis and Seborrhoeic Dermatitis , 2011 .

[10]  A. Naeini,et al.  Fungitoxicity of Zataria multiflora essential oil against various Malassezia species isolated from cats and dogs with Malassezia dermatitis , 2011 .

[11]  M. Cunha,et al.  Clinical aspects of patients with pityriasis versicolor seen at a referral center for tropical dermatology in Manaus, Amazonas, Brazil. , 2010, Anais brasileiros de dermatologia.

[12]  G. Giusiano,et al.  Prevalence of Malassezia species in pityriasis versicolor lesions in northeast Argentina. , 2010, Revista iberoamericana de micologia.

[13]  R. Hay,et al.  Pityriasis Versicolor and Other Malassezia Skin Diseases , 2010 .

[14]  K. Bramono,et al.  Identification of Malassezia species from pityriasis versicolor in Indonesia and its relationship with clinical characteristics , 2009, Mycoses.

[15]  J. Razafimahefa,et al.  Pityriasis versicolor à Antananarivo : première étude sur l'identification d'espèces de Malassezia responsables , 2008 .

[16]  S. Dogra,et al.  Malassezia and psoriasis: Koebner's phenomenon or direct causation? , 2007, Journal of the European Academy of Dermatology and Venereology : JEADV.

[17]  X. S. Passos,et al.  Antifungal activities of azole agents against the Malassezia species. , 2007, International journal of antimicrobial agents.

[18]  C. Uneke,et al.  Tinea Capitis And Pityriasis Versicolor Infections Among School Children In The South-Eastern Nigeria: The Public Health Implications , 2005 .

[19]  M. Ram,et al.  Pityriasis versicolor in the pediatric age group. , 2005, Indian journal of dermatology, venereology and leprology.

[20]  Arthur Rook,et al.  Rook's Textbook of Dermatology , 2004 .

[21]  A. Kindo,et al.  Identification of Malassezia species. , 2004, Indian journal of medical microbiology.

[22]  S. Srimuang,et al.  A study of pityriasis versicolor in Bangkok (Thailand) , 1989, Mycopathologia.

[23]  D. Thappa,et al.  Morphological And Pigmentary Variations Of Tinea Versicolor In South Indian Patients , 2003 .

[24]  R. Summerbell,et al.  Pityriasis versicolor , 2002, Journal of the European Academy of Dermatology and Venereology : JEADV.

[25]  T. Boekhout,et al.  Fast, Noninvasive Method for Molecular Detection and Differentiation of Malassezia Yeast Species on Human Skin and Application of the Method to Dandruff Microbiology , 2002, Journal of Clinical Microbiology.

[26]  S. Watanabe,et al.  The skin fungus‐induced Th1‐ and Th2‐related cytokine, chemokine and prostaglandin E2 production in peripheral blood mononuclear cells from patients with atopic dermatitis and psoriasis vulgaris , 2002, Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology.

[27]  Pramod Kumar,et al.  Clinico-epidermiological studies on tinea versicolor. , 2002, Indian journal of dermatology, venereology and leprology.

[28]  W. Steglich,et al.  Pityriacitrin – an ultraviolet-absorbing indole alkaloid from the yeast Malassezia furfur , 2002, Archives of Dermatological Research.

[29]  R. Weiss,et al.  [Yeasts of the genus Malassezia: taxonomic classification and significance in (veterinary and) clinical medicine]. , 2000, Mycoses.

[30]  C. Papavassilis,et al.  Different utilization of neutral lipids by Malassezia furfur and Malassezia sympodialis. , 1998, Medical mycology.

[31]  A. Elhassan,et al.  TINEA VERSICOLOR AND VISCERAL LEISHMANIASIS , 1994, International journal of dermatology.

[32]  P. Jacobs,et al.  Tinea versicolor: epidemiologic, clinical, and therapeutic aspects. , 1991, Journal of the American Academy of Dermatology.

[33]  K. T. Holland,et al.  The distribution and ecology of Malassezia furfur and cutaneous bacteria on human skin. , 1989, The Journal of applied bacteriology.

[34]  J. Faergemann,et al.  Tinea Versicolor: Some New Aspects on Etiology, Pathogenesis, and Treatment , 1982, International journal of dermatology.

[35]  J. Faergemann,et al.  Tinea versicolor and Pityrosporum orbiculare: a mycological investigation. , 1979, Sabouraudia.

[36]  W. Reed,et al.  Patients with spinal cord injury. Clinical cutaneous studies. , 1961, Archives of dermatology.