Clinical presentation
Malassezia has seven different subspecies that cause or contribute to a spectrum of conditions including pityriasis versicolor, seborrhoeic dermatitis, atopic dermatitis, infantile acne and malassezia folliculitis, with M. globosa and M. furfur the most common species isolated, particularly from HIV patients .[77], [78] Malassezia can present in the setting of HIV as pruritic pustules, macules or papules on the face, chest, back and shoulders. Due to its morphology and distribution it may be confused with acne vulgaris. However, malassezia folliculitis does not show comedones on the skin, which helps to distinguish it from acne vulgaris.[79]