Evidence map›Paper›PMID 33663381›Full record

ArticleBMC microbiology2021

Identification of cutaneous fungi and mites in adult atopic dermatitis: analysis by targeted 18S rRNA amplicon sequencing.

Sofie Marie Edslev, Paal Skytt Andersen, Tove Agner, Ditte Marie Lindhardt Saunte, Anna Cäcilia Ingham, Thor Bech Johannesen, Maja-Lisa Clausen

Open access · goldAbstract read
In one paragraph

Article in BMC microbiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Pathogens (Basel, Switzerland) · 2025
    Article
  3. Article
  4. Reducing ocularFrontiers in allergy · 2025
    Article
  5. Review
  6. Fungal Head and Neck Dermatitis: Current Understanding and Management.Clinical reviews in allergy & immunology · 2024
    Review
  7. In the eye of the ophthalmologist: the corneal microbiome in microbial keratitis.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2024
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. The Role of the Cutaneous Mycobiome in Atopic Dermatitis.Journal of fungi (Basel, Switzerland) · 2022
    Review
  13. The Acari Hypothesis, III: Atopic Dermatitis.Pathogens (Basel, Switzerland) · 2022
    Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Sofie Marie EdslevDepartment of Bacteria, Parasites, and Fungi, Statens Serum Institut, Copenhagen, Denmark. smed@ssi.dk.
Paal Skytt AndersenDepartment of Bacteria, Parasites, and Fungi, Statens Serum Institut, Copenhagen, Denmark.
Tove AgnerDepartment of Dermatology, Bispebjerg University Hospital, Copenhagen, Denmark.
Ditte Marie Lindhardt SaunteDepartment of Dermatology, Zealand University Hospital, Roskilde, Denmark.
Anna Cäcilia InghamDepartment of Bacteria, Parasites, and Fungi, Statens Serum Institut, Copenhagen, Denmark.
Thor Bech JohannesenDepartment of Bacteria, Parasites, and Fungi, Statens Serum Institut, Copenhagen, Denmark.
Maja-Lisa ClausenDepartment of Dermatology, Bispebjerg University Hospital, Copenhagen, Denmark.
Statens Serum Institut · DKBispebjerg Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) patients have an altered skin bacterial community, with an abundance of Staphylococcus aureus associated with flares, highlighting that microbial organisms may be important for disease exacerbation. Despite strong evidence of association between bacterial skin colonisation and AD, very limited knowledge regarding the eukaryotic microbial community, including fungi and ectoparasites, in AD exists. In this study, we compared the skin and nasal eukaryotic microbial community between adult AD patients (n = 55) and non-AD healthy controls (n = 45) using targeted 18S rRNA amplicon sequencing. Analysis was based on the presence or absence of eukaryotic microorganisms.

resultsThe cutaneous composition of the eukaryotic microbial community and the alpha-diversity differed significantly between AD patients and non-AD individuals, with increased species richness on AD skin. Alpha-diversity and beta-diversity were similar on lesional and non-lesional skin of patients. The ectoparasite Demodex folliculorum and the yeast Geotrichum candidum were significantly more prevalent on the skin of AD patients. The prevalence of D. folliculorum on lesional skin was greater among patients recently treated with topical corticosteroid. Malassezia was one of the most frequently detected genera at all sites, with M. globosa and M. restricta being the most prevalent. M. restricta was under represented in the anterior nares of AD patients as compared to the non-AD control population.

conclusionSignificant differences in the eukaryotic microbial communities were found between AD patients and non-AD individuals, with the most striking finding being the significantly overrepresentation of D. folliculorum on AD skin. Whether D. folliculorum can contribute to skin inflammation in AD needs further investigation.

Indexed as

AnimalsBiodiversityDermatitis, AtopicFungiHumansMitesRNA, Ribosomal, 18SSkinRNA, Ribosomal, 18SAtopic dermatitisDemodexFungiMalasseziaMicrobiomeMycobiome

Identifiers

PMID33663381
PMCPMC7934438
OpenAlexW3112327983

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.