Skin: malassezia disease

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Sections available in full article Introduction, Presenting signs, Geographic incidence, Breed predisposition, Cost considerations, Pathogenesis, Etiology, Predisposing factors, Pathophysiology, Timecourse (incubation, duration), Diagnosis, Presenting problems, Client history, Clinical signs, Diagnostic investigation, Confirmation of diagnosis, Differential diagnosis, Treatment, Initial symptomatic treatment, Subsequent management, Sequelae, Prognosis, Expected response to treatment, Sources, Publications, Vetstream contributor(s),
Contributors Dr Ross Bond
Dr Rosanna Marsella DVM DipACVD
Dr Ian Mason BVetMed PhD CertSAD DipECVD MRCVS
Synonyms Malassezia pachydermatis, Pityrosporum canis

Introduction

  • Cause : Malassezia pachydermatis Malassezia pachydermatis (previously Pityrosporum canis) is frequent yet underdiagnosed cause of fungal skin disease, also has role in otitis externa Skin: otitis externa.
  • Defective cutaneous defence may allow infection to occur Skin: bacterial skin disease - overview.
  • Signs : pruritus, erythema, alopecia, greasy, malodorous skin, lichenification.
  • Diagnosis : cytopathology.
  • Treatment : antifungal therapy.
  • Prognosis : good, lifelong therapy may be required. Recurrence is common if underlying cause is not identified.

Diagnosis

Clinical signs

  • Seborrhea: pruritus, malodor.
  • Erythema.
  • Concurrent otitis externa Skin: otitis externa.
  • Lichenification.
  • Lesions affecting ventral cervical and interdigital areas.

Diagnosis

Differential diagnosis

  • Primary idiopathic "seborrhea" (keratinization defect) Skin: primary seborrhea.
  • Pyoderma Skin: bacterial skin disease - overview.
  • Endocrinopathy Skin: hyposomatotropism.
  • Hypersensitivity, eg fleabite Skin: flea bite hypersensitivity.
  • Ectoparasite infestation Skin: parasitic disease - overview.
  • Superficial necrolytic dermatitis Hepatocutaneous syndrome.

Sequelae

Prognosis

  • Good: not fatal, but lifelong medication may be necessary. Concurrent disease should be sought and treated.

Expected response to treatment

  • Reducing pruritus.

Sources

Publications

Refereed papers

  • Jackson H (1999) Common cutaneous diseases of the canine foot. In Practice 21 , 54-61.
  • Morris D O et al(1998) Type-1 hypersensitivity reactions to Malassezia pachydermatitis extracts in atopic dogs Am J Vet Res 59 (7), 836-841.
  • Mauldin E A, Scott D W, Miller W H & Smith C A (1997) Malassezia dermatitis in the dog - a retrospective histopathological and immunopathological study of 86 cases (1990-1995) Vet Derm 8 , 191-202.
  • Kuhl K A (1996) Newly reported skin diseases. Vet Med 91 , 1007-1020.
  • Morris D O(1990) Malassezia dermatitis and otitis. Vet Clin North Am Small Anim Pract 29 (6), 1303-1310 (review).

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