Malassezia Folliculitis (MF) Patient Profile in Mycology Division of Dermatovenereology Outpatient Clinic General Academic Hospital Dr. Soetomo Surabaya Period of 2018-2020

Abstract

Malassezia folliculitis (MF) is a chronic infection of pilosebaceous follicles caused by Malassezia spp. Clinical features of MF may include perifollicular papules and itchy erythematous pustules. This study evaluating the profile of MF patients in the period 2018-2020 in the Mycology Division of Dermatovenereology Outpatient Clinic of Dr. Soetomo General Academic Hospital Surabaya. Retrospective descriptive study aimed at evaluating MF patients including the number of cases, patient baseline data, history taking, physical examination, supporting examinations, and therapy. Based on the tabulation of data obtained 154 new MF patients. The majority of patients were aged 17-25, were females, were students. The most clinical characteristics were red nodules accompanied by moderate itching, the longest duration of complaints were <1 months, the most endogenous predisposing factors were hyperhidrosis and exogenous was humidity and high temperature, the most localized status was in the thoracalis posterior, the most dermatological status was erythematous papules, the supporting examinations carried out were KOH 20% and showed blastospores with the predominance grade 4+, the most Woods lamp examination revealed bright green yellow color, dermoscope examination showed erythema. Most systemic therapies was ketoconazole 2x200 mg and topical was ketoconazole shampoo 2%. There was an increase in the number of MF patients. The diagnosis of MF is based on anamnesis, physical examination and then matched with supporting examinations.