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Biomedical subjects

J Faergemann

Publications and source records attributed to J Faergemann.

At least 109 records · Page 6Linked to original sources

Experimental infections in rabbits and humans with Pityrosporum orbiculare and P. ovale.

The purpose of this investigation was to produce experimental tinea versicolor in rabbits and humans with Pityrosporum orbiculare and P. ovale. P. orbiculare and P. ovale were inoculated, with and without occlusion, on the inside of the ear in 10 male rabbits and on the upper arm in 10 patients with a history of tinea versicolor, and in 3 healthy volunteers. After 1 week tinea versicolor-like lesions were produced with both P. orbiculare and P. ovale in 8 of 10 rabbits. Likewise experimental infections, similar to those found clinically in tinea versicolor, were seen, after 1 week, in 5 patients with a history of tinea versicolor and in the 3 healthy volunteers. Two of 5 patients inoculated for only 4 days showed identical but less pronounced lesions. Experimental infections could only be produced with occlusion. Microscopically short hyphae and transformation between round and oval forms were seen in both P. orbiculare and P. ovale. This investigation adds to the identity of P. orbiculare and P. ovale and also to the identity of these 2 fungi and the fungus seen in tinea versicolor. Spontaneous healing and the fact that experimental infections were produced only under occlusion illustrates the importance of predisposing factors in tinea versicolor.

Animals↗

The atopic thigh: a "starting-school' symptom?

In a retrospective survey of 1112 patients with atopic dermatitis we found that the age of onset of lesions localized to the lower gluteal and posterior femoral regions reached its peak at the age of 7 to 8 years. We speculated that this is due to sweat retention caused by prolonged sitting when these predisposed individuals start school.

Adolescent↗

Solubility of antimycotics: a problem in in vitro experiments.

An investigation of how miconazole nitrate dissolved in dimethylformamide in initial concentrations of 1,000, 500, and 100 microgram/ml may alter its concentration with storage time, is presented. The determination of miconazole nitrate was performed with high pressure liquid chromatography. After 8 hours the 1,000 microgram/ml solution was milky and the concentration of miconazole had fallen significantly. It was concluded that test agar plates or agar tubes must be made with freshly prepared and clear stock solutions, otherwise false MIC's may be obtained.

Dimethylformamide↗

Micro-aerophilic and anaerobic growth of Pityrosporum species.

Pityrosporum orbiculare, P. ovale, and P. pachydermatis showed the same luxuriant growth when cultured under aerobic conditions, in an aerobic milieu with 7% CO2, and under micro-aerophilic conditions. The species survived and even multiplied under strictly anaerobic conditions. These findings may explain how P. orbiculare and P. ovale can survive in the deeper parts of hair follicles. On a medium that enhanced the production of filaments in Pityrosporum, filaments were more pronounced in the micro-aerophilic environment. Macroscopically, P. ovale showed a more luxuriant growth than P. orbiculare on this medium, but microscopically the same type of filaments were produced.

Aerobiosis↗

Antimycotic activity of propane-1,2-diol (propylene glycol).

Propane-1,2-diol in concentrations of 30-90 g/l was found to inhibit in vitro the growth of Pityrosporum orbiculare, Candida albicans, Trichophyton rubrum, T. mentagrophytes var. interdigitale, and Epidermophyton floccosum. These results are discussed in relation to the management of fungal skin diseases.

Antifungal Agents↗

Propylene glycol in the treatment of tinea versicolor.

Twenty patients with tinea versicolor were treated with propylene glycol 50% in water twice daily for 2 weeks. All of these were cured when seen 2 weeks after the last day of treatment. The patients found the treatment cosmetically attractive and only 2 patients complained of a slight burning sensation in the skin after application of the solution.

Adult↗

One case of confluent and reticulate papillomatosis (Gougerot-Carteaud).

A 16-year-old girl with dark-brown coalescing papules symmetrically localized to the cheeks, is reported. The diagnosis may be consistent with the criteria for confluent and reticulate papillomatosis (Gougerot-Carteaud). The association between this disease and Pityrosporum orbiculare is discussed.

Adolescent↗

Age incidence of Pityrosporum orbiculare on human skin.

We have investigated the incidence of the lipophilic fungi Pityrosporum orbiculare and P. ovale on clinically normal skin in newborn children and in children at the age of 6 months, 1 year, 5 years, 10 years, and 15 years. P. orbiculare was absent in children of less than 5 years of age. It was present in the highest incidence (93%) in the 15-year-old children, about the same frequency as in adults. The colonization starts during the period when the sebaceous glands become active. P. ovale could not be cultured and this may depend on geographical variations in the distribution of these yeasts.

Adolescent↗

An open trial of the effect of a zinc pyrithione shampoo in tinea versicolor.

The effect of zinc pyrithione 1 percent, incorporated in a shampoo, has been tested in an open trial of twenty patients with tinea versicolor. The period of treatment was two weeks, and eighteen patients returned for follow-up visits two weeks after the last day of treatment. All of these patients were cured of tinea versicolor clinically, under Wood's light, and microscopically. No side effects were noticed in any of the patients and the patients found the shampoo cosmetically acceptable.

Administration, Topical↗

The antimycotic activity in vitro of five diols.

The antimycotic activity of ethane-1,2-diol, propane-1,2-diol, butane-1,3-diol, pentane-1,5-diol, and hexane-2,5-diol in vitro against Pityrosporum orbiculare, Candida albicans, Trichophyton rubrum, T. mentagrophytes var. interdigitale and Epidermophyton floccosum was studied. Ethane-1,2-diol had the lowest activity (MIC of 40-100 g 1(-1)), and hexane-2,5-diol the highest activity (MIC of 10-40 g 1(-1)). Among, the higher diols there can be both effective antifungal agents and substances with a lower risk of allergic and irritative skin reactions than propane-1,2-diol.

Antifungal Agents↗

Experimental tinea versicolor in rabbits and humans with Pityrosporum orbiculare.

The purpose of this investigation was to produce experimental tinea versicolor in rabbits and humans with Pityrosporum orbiculare. Inoculation with P. orbiculare under plastic occlusion on the glabrous follicle-rich inside of the rabbit ear resulted in a tinea versicolor-like lesion after 1 week in 3 of 4 animals. One week after inoculation with P. orbiculare under plastic occlusion, experimental infections similar to those found clinically in tinea versicolor were seen in 10 of 12 patients with a history of tinea versicolor and in 3 of 6 normal volunteers. It was not possible to produce experimental infections without occlusion. Spontaneous healing usually occurred.

Animals↗

The activity in vitro of five different antimycotics against Pityrosporum orbiculare.

The activity in vitro of miconazole, clotrimazole, econazole, sodium omadine, and sodium thiosulphate against Pityrosporum orbiculare was found to correlate with the good clinical results these drugs produce in tinea versicolor. In addition many substances used as solvents or in vehicles had an inhibitory effect in vitro against P. orbiculare. The influence of the culture medium, especially lipids, on the action of imidazole derivatives is discussed.

Antifungal Agents↗

Tinea versicolor and Pityrosporum orbiculare: mycological investigations, experimental infections and epidemiological surveys.

In patients with tinea versicolor, Pityrosporum orbiculare was cultured from tinea versicolor lesions in 100%, from normal-looking skin in 80%, and from apparently healed lesions in 69%. P. orbiculare was isolated from normal skin in 85% of patients with seborrheic dermatitis and in 90% of volunteers. The best substrate for isolation of P. orbiculare was a peptone-glucose-yeast extract medium containing glycerol monostearate and Tween 80, overlaid with olive oil. Germ tubes were produced when P. orbiculare was incubated in an atmosphere containing air with 7% CO2. Cultures of P. orbiculare and P. ovale did not show any fluorescence in Wood's light. The in vitro activity of miconazole, clotrimazole, econazole, sodium omadine, and sodium thiosulphate against P. orbiculare was found to correlate to the good clinical effect of these drugs in tinea versicolor. In addition several substances used as solvents or in vehicles had an inhibitory activity against P. orbiculare in vitro. Inoculation with P. orbiculare under plastic occlusion on the glabrous follicle-rich inside of the rabbit ear resulted in a tinea versicolor-like lesion after I week in 3 of 4 animals. One week after inoculation with P. orbiculare under plastic occlusion, experimental infections similar to those found clinically in tinea versicolor were seen in 10 of 12 patients with a history of tinea versicolor and in 3 of 6 normal volunteers. It was not possible to produce experimental infections without occlusion. Spontaneous healing usually occurred. In a retrospective study of 232 patients and prospective survey of 48 patients regarding susceptibility factors in tinea versicolor a higher (10.4%) than expected (3.8%) connection to seborrheic dermatitis was found.

Adolescent↗

Lichen sclerosus et atrophicus generalisata, alopecia areata, and polymyalgia rheumatica found in the same patient.

A sixty-eight year old woman with lichen sclerosus et atrophicus since the age of fity-two, alopecia totalis since the age of thirty-six, and polymyalgia rheumatica since the age of fifty-eight is presented. Besides alopecia totalis, the patient has typical lichen sclerosus et atrophicus changes on the trunk, upper arms, and thighs, and at the first visit an ulcer on her left breast. An immunologic link between her three diseases is suspected. As shown in this case Wood's light is of great value in depigmented skin changes.

Aged↗

Experimental Candida albicans lesions in healthy humans: dependence on skin pH.

The addition of suspensions of Candida albicans cells under occlusion to the left and right forearms, buffered at 2 different pH levels (6.0 and 4.5), resulted after 24 h in unilateral or bilateral lesions in 14 of 15 volunteers. The resulting skin-surface pH was 5.7+/-0.3 and 5.1+/-0.2, respectively. The lesions were more pronounced on the arm with the higher pH in all 14 subjects who reacted. In 11 cases, reactions occurred only on the arm with the higher pH. The pH-induced results are not due to inhibited growth of C. albicans. They may be due to a pH dependence of the yeast's virulence capacity and/or a modulation of the host's defence ability. The use of skin-occlusive products (e.g. dressings, diapers and panty liners) is known to raise skin pH and is associated with skin infections of C. albicans. An acidic buffer incorporated in such products could be a preventive measure for Candida-induced skin rash.

Acid-Base Imbalance↗