• 한방안이비인후피부과학회지
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• 제19권3호통권31호
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• pp.118-133
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• 2006

Seborrheic dermatitis is characterized by the appearance of red, flacking, greasy lesions in regions rich in sebaceous glands. There are various opinions about the relation between seborrheic dermatitis and dandruff. Considering all available data, we consider seborrheic dermatitis and dandruff to be differing severity manifestations of similar origin. The known etiologies of seborrheic dermatitis are the abnormality of lipid and hormnes, Malassezia species, immune response. We recently focus on the relation between seborrheic dermatitis and HIV positive and AIDS patients, seborrheic dermatitis and neurological disease. The treatments of seborrheic dermatitis include topical treatments, oral treatments. There are non-specific agents, antifungal medication, corticosteroids in the topical treatments. Narrow band UVB and oral medications are known as the prophylaxis of seborrheic dermatitis but we need further study. In traditional korean medicine, the literature studies and case reports have been published. But we don't know what herbal medicine has antifungal effect against Malassezia species. So we should discriminate herbal medicines which have antifungal effect against Malassezia specieses. Then we could treat seborreic dermatitis by traditional korean medicine effectively.

• 대한수의학회지
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• 제45권3호
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• pp.439-444
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• 2005

A 7.1 kg, seven-year old, castrated male, Shih-Tzu with severe pruritus, chronic otitis externa and Malassezia infection was referred to Veterinary Medical Teaching Hospital of Chungnam National University. In local animal hospital, steroid therapy was used to treat uncontrollable pruritus, but the clinical signs were recurrent when steroid therapy was discontinued. On physical examination, generalized alopecia, erythema, papules, severe crust and diffuse lichenification were presented. Tape strip test of skin lesions revealed cocci and Malassezia infections. Based on the result of history, clinical signs and examination described above, canine atopic dermatitis with secondary superficial pyoderma and Malassezia dermatitis was diagnosed. Oral challenge with cyclosporine and antibiotics had good results in clinical signs. Clinical sign scores were evaluated by investigator with CADESI at 2weeks, 4weeks, 6weeks, 8weeks and 10weeks after cyclosporine administration. And in the result of comparing of allergen-specific IgE value, the level of allergen-specific IgE to general causative allergen after 10 weeks of cyclosporine therapy was higher than that before cyclosporine therapy.

• Mycobiology
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• 제40권2호
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• pp.124-128
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• 2012

Multiple treatment modalities, including topical and systemic corticosteroid and phototherapy, have been used in treatment of patients with atopic dermatitis. However, long-term corticosteroid therapy may have various adverse effects. The purpose of this study was to investigate the therapeutic efficacy and safety of bath therapy using green tea extracts for treatment of patients with atopic dermatitis. A total of four patients with atopic dermatitis were enrolled in this study. A Malassezia multiplex detection kit was used in performance of multiplex PCR on clinical isolates, which confirmed Malassezia sympodialis. Subjects underwent treatment with bath therapy using green tea extracts three times per wk for a period of 4 wk. Assessment using the scoring atopic dermatitis (SCORAD) index, the visual analogue scale for pruritus, and transepidermal water loss was performed weekly. Laboratory tests were performed before and after treatment. All patients showed marked improvement on the mean SCORAD and visual analogue scale, and a significant decrease in the mean values of serum eosinophil counts was observed after treatment. Bath therapy with green tea extract is an effective, safe, and nonsteroidal therapy for treatment of patients with atopic dermatitis associated with Malassezia sympodialis.

• Journal of Mycology and Infection
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• 제23권4호
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• pp.91-98
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• 2018

Background: Malassezia, a lipophilic yeast, is a causative agent for dandruff and seborrheic dermatitis. Many biological agents have been studied for anti-Malassezia effect but further studies are needed for their clinical application. Objective: The study was conducted to evaluate the inhibitory effect of different natural essential oils and a fruit extract on Malassezia species in an in vitro study and a clinical trial. Methods: The antifungal effects of natural essential oils and a fruit extract on Malassezia species (M. furfur and M. sympodialis) were evaluated by measuring the minimum inhibitory concentration (MIC) and minimum fungicidal concentration (MFC) and using the disc diffusion method. Natural essential oils of citron seed, lavender, and rosemary and citrus junos fruit extract were used for the in vitro study. The clinical trial was conducted with a shampoo containing four ingredients. A total of 22 subjects used the shampoo every day for 4 weeks and were evaluated using clinical photography, trichoscopy, and sebumeter at baseline, 2 weeks, and 4 weeks after treatment. Results: Antifungal activity of agents was relatively lower in lavender and rosemary essential oils at MIC and MFC. Disc diffusion method revealed same results. In the clinical trial, the amount of sebum decreased statistically significantly and erythema, dandruff, and lesion extent also improved. Conclusion: The natural essential oils and fruit extract are effective for suppressing Malassezia activity, therefore these might be used as an alternative for treatment of dandruff and seborrheic dermatitis.

• Fisheries and Aquatic Sciences
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• 제12권1호
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• pp.29-34
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• 2009

Fifty seven species of common seaweed from the coast of Korea were screened for antifungal activity against Malassezia species. Seaweeds as a source of bioactive compounds are able to produce a great variety of secondary metabolites with different activities. There are numerous reports on the biological activities of seaweeds against human pathogens, fungi, and yeasts, but only few contain data regarding inhibitory effects against Malassezia sp., a major cause of dandruff and seborrheic dermatitis. To help address this paucity of information, this work was carried out to examine the antifungal effects of seaweed extracts against M. furfur and M. restricta. Of the fifty seven species of marine algae screened for their potential antifungal activity, only 17 species (29.8%) exhibited inhibitory activity. In agar disc diffusion method, the ether extracts of Corallina pilulifera, Enteromorpha linza, Laminaria japonica, Symphyocladia latiuscula and Ulva sp. showed strong antifungal activity. To identify major constituents in seaweed extracts, four selected extracts were analyzed on' a GC-MS equipped with a flame ionization detector, and compared to spectral data from databases WILEY229.LIB and NIST107.LIB. Most constituents in seaweed extracts are fatty acid-related compounds. When we evaluated any acute toxicity, the ether extracts of the selected four species were not toxic in mice. According to these results, it can be suggested that these seaweed extracts are valuable for the development of therapeutic agents in treating dandruff and seborrheic dermatitis. Further investigations to determine its bioactive compound(s) are currently in progress.

• 대한수의학회지
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• 제39권5호
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• pp.945-950
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• 1999

A 4-year-old female American cocker spaniel was hospitalized with 6 months prolonged dermal problems in The Veterinary Medical Teaching Hospital of Seoul National University. Initial noticed signs by owner of this dog were rashes and papules on ear part and they were spreaded whole body. On initial physical examinations, papules, pustules, crusts, and erythema were presented on whole body. Diameters of focal scaly and erythematous alopetic lesions were varied ranging 1 to 4cm. Skin scraping for detecting ectoparasites and wood's light examinations for dermatophyte were negative. Any bacteria were not detected but Malassezia pachydermatis was detected on cytological examination and fungal culture. The dog was treated with Itraconazole (5mg/kg, q12h) and Cephalexin (20mg/kg, q12h) orally and then bathed with 2% chlorhexidine shampoo twice per week for 5 weeks. From 12 weeks after starting therapy, all dermal problems were disappeared although some mild pyoderma were once relapsed. Regular chlorhexidine bathing treatment so far has been continued for preventing recurrence.

• 한국임상수의학회지
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• 제31권2호
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• pp.156-158
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• 2014

오타리아 물개의 탈모성 피부염에서 Malassezia spp. 를 분리하였다. Sabouraud dextrose agar에서 성장한 집락형태는 유백색에서 황색조로 변연부는 매끄러웠다. 현미경 검경시 형태는 원형에서 실린더형이었고 증식을 지시하는 budding 형이 관찰되었다. 개의 외이염에서 분리한 Malassezia pachydermatis와 비교하기 위해 26s rRNA 염기서열 분석을 실시하여 99.9% 의 일치도를 보였다. Itraconazole pulse therapy는 매우 효과적이었고 재발하지 않았다. 본 증례는 국내 물개에서 발생한 Malassezia 피부염 최초 보고로 판단된다.

• Bulletin of the Korean Chemical Society
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• 제31권5호
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• pp.1270-1274
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• 2010

Malassezia is a pathogenic fungus that causes skin diseases, such as tinea versicolor, atopic dermatitis and fatal sepsis. We report the synthesis of a series of benzoxazole amides and evaluation of their antifungal activity against Malassezia furfur. Twelve benzoxazole amides were prepared through the cyclization of the substituted 2-hydroxy aniline with N-(bis-methylsulfanylmethylene) amides. Among the prepared compounds, the compounds 4a, 8b, 8c and 8d showed in vitro antifungal activity.

• 한국임상수의학회지
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• 제16권1호
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• pp.80-85
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• 1999

Malassezia(Pityrosoprum) pachydermatis에 의한 피부염의 위험요인을 파악하고자 1997년 1월에서 1998년 12월까지 서울대학교 수의과대학 부속동물병원에 내원하여 본 질환으로 진단된 29두와 동일한 기간 동안 피부과 검사에서 임상적으로 건강한 개로 확인된 97 두의 대조군을 대상으로 분석하였다. 각 설명변수에 대한 교차비(odds ratio, OR)와 신뢰구간(confidence interval, CI)은 변수보정법을 사용하여 계산하였다. 다른 공변수를 보정한 상태에서 다중 로지스틱 회귀분석(multiple logistic regression analysis)을 시행한 결과 피부병기왕력(p=0.0059; OR, 4.44; CI, 1.5∼12.8)과 비만(p=0.0013; OR, 5.38; CI, 1.9∼14.9)은 유의한 위험요인으로 나타났다. 단변량 분석(univariate analysis)에서 주 사료로 고기를 섭취하는 경우 피부염의 위험이 높은 변수로 작용하였지만(p=0.0398; OR, 6.38; CI, 1.1∼37.3) 다른 공변수를 보정한 분석에서는 유의하지 않은 것으로 나타났다. 성별, 품종, 및 예방접종은 위험요인으로 작용하지 않았다.

• 한국임상수의학회지
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• 제22권2호
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• pp.90-93
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• 2005

Malassezia 피부염으로 진단된 18두의 개를 대상으로 Itraconazole 5mg/kg을 1일 2회 경구 투여하여 치료효과를 알아보았다 치료반응을 보인 환자는 $88\%$이었으며 소양감과 피부병면은 치료후 1주일에 확연히 개선되었다. 치료대상견의 품종은 Haltese$(22\%)$, Cocker Sptuiel$(17\%)$, Pekingese$(11\%)$, Vizsla$(11\%)$이었다. 피부증상으로는 가피$(31\%)$, 탈모$(25\%)$, 색소침착$(25\%)$, 인설$(19\%)$, 발적$(13\%)$, 태선화$(11\%)$, 농포$(11\%)$ 귀부종$(11\%)$, 구진$(5\%)$의 순으로 냐타났다. 병변발생부위는 이도$(41\%)$, 액와부$(18\%)$, 서혜부$(15\%)$, 회음부$(12\%)$, 복측경부$(9\%)$, 지간부$(1\%)$, 총구부$(1\%)$ 이었다. 세포학적 검사시$61\%$의 환견에서 구균이 동시에 검출되었다. Itraconazole에 대한 임상반응은 $89\%$가 치료반응을 보였고 (2두)$11\%$는 치료반응을 보이지 않았다 치료반응을 보인 환자 중 5두는 재발되었고 1두는 갑상선 기능저하증이었으며 나머지 4두는 재발의 원인을 확인할 수 없었다. 1두에서 투여 후 28일에 식욕결집, 침울의 증상이 발현되어 투약을 중지하였다. 따라서itraconazole을 5mg/kg을 1일 2회 경구투여는 Malassezia 피부염에 효과적인 치료로 사료된다