50 patients suffering from long lasting atopic dermatitis were mycolog
ically screened fora cutaneous colonization with Pityrosporum ovale. I
n addition, Pityrosporum-specific IgE was measured and skin prick test
s were performed in subgroups of the patients. The yeast was recovered
in 72% of our cases. 71% of the patients investigated presented with
Pityrosporum-specific IgE, and 43% of them had a positive prick test r
esponse. Although tow levels of specific IgE must be critically interp
reted in respect to a possible clinical relevance, an IgE-mediated imm
une response may contribute to the epidermal inflammation in patients
with positive prick tests. Cellular hypersensitivity to Pityrosporum a
ntigens needs further studies.