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Do I Have a Skin Infection? To help prevent tinea versicolor from returning, your doctor can prescribe a skin or oral treatment that you use once or twice a month. You may need to use these just during warm and humid months. Preventive treatments include:
Medical Departments and Centers Selected Topics Tinea versicolor is an infection caused by a fungus that is common in adolescent and young adult males. Besides the rash, seen here on the back, there may be mild itching. Frequent sites of infection include the neck, upper chest, and arm pit (axilla). The rash may be white (as seen here) to yellowish to golden brown in color. A tan can accentuate the difference in skin color.
Clotrimazole is an anti-fungal medication related to fluconazole (Diflucan), ketoconazole (Nizoral), itraconazole (Sporanox), and miconazole (Micatin, Monistat). It prevents growth of several types of fungi by preventing interfering with the production of the membrane that surrounds fungal cells. It is used topically on the skin, inserted vaginally or allowed to dissolve in the mouth for local fungal infections.
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Diagnosis confirmation Most cases of tinea versicolor occur in healthy individuals with no immunologic deficiencies. Nevertheless, several factors predispose some people to develop this condition. These factors include genetic predisposition; warm, humid environments; immunosuppression; malnutrition; application of oily preparations; corticosteroid usage; and Cushing disease. [11, 12, 13] The use of bath oils and skin lubricants may increase the risk of developing tinea versicolor. [14]
Mount Sinai Brooklyn Find a Dermatologist Buy it here We all have yeast living on our skin. When they grow out of control, a person can get a skin disease called tinea versicolor.
Make a difference Menu State societies Beauty & Balance More Related Topics Tinea Versicolor With Multiple Brown Patches on the Neck Explore the Academy View all learning/CME
public Race Picture of pink scaly spots and patches of tinea versicolor on light skin. SOURCE: Wikicommons [lockerdome] Contribute to Dermnet
About NEJM Next Krisanty RI, Bramono K, Made Wisnu I. Identification of Malassezia species from pityriasis versicolor in Indonesia and its relationship with clinical characteristics. Mycoses. 2009 May. 52(3):257-62. [Medline].
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NEWSLETTERS Ad Choices Donate > Part 3: Function Mohs Surgery Treatments are generally well tolerated but may cause skin irritation or contact dermatitis. Response to treatment should be within weeks. The eruption may recur and may be retreated in the same fashion.
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AskMayoExpert. Superficial fungal infection. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
Mayo Clinic School of Graduate Medical Education About MedlinePlus Malassezia sp. have been recognized potentially to be an aggravating factor in several scenarios involving atopic dermatitis. Specifically, consider when atopic dermatitis primarily involves the head and neck, worsens during adolescence or early adulthood, or is refractory to conventional treatment. A 1 to 2 month course of systemic itraconazole or ketoconazole followed by weekly long-term prophylaxis may be helpful.
Menu Newest Slideshows Create e-mail alerts with My NCBI Although tinea versicolor is recurrent for some patients and, therefore, a chronic disease, the condition remains treatable with the available remedies (see Medical Care and Medication). Thus, the prognosis is excellent and new treatments continue to be developed. [22]
Networking & Educational Series Referring Physician Portal Dialogues in Dermatology quizzes Gupta AK, Copper EA, Simpson FC. Tinea versicolor (pityriasis versicolor). In: Lebwohl MG, Heymann WR, Berth-Jones J, Coulson I, eds. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 4th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 236.
Tinea versicolor can be successfully treated with various agents. [30] Effective topical agents include selenium sulfide, zinc-pyrithione, sodium sulfacetamide, ciclopirox olamine, [31] , tacrolimus, [32] as well as azole and allylamine antifungals. [33, 34, 35, 36, 37] Even if a small area of skin is involved, treating with topicals from the neck to the knees may make treatment more successful. [14] Various regimens can be used. Selenium sulfide lotion is liberally applied to affected areas of the skin daily for 2 weeks; each application is allowed to remain on the skin for at least 10 minutes prior to being washed off. In resistant cases, overnight application can be helpful. Topical azole antifungals can be applied every night for 2 weeks. Weekly application of any of the topical agents for the following few months may help prevent recurrence. In patients with widespread disease, some topical antifungal therapy can be expensive. Over-the-counter shampoo formulations of selenium sulfide, zinc-pyrithione, and ketoconazole are low-cost options that are widely available and can easily be used to cover large surface areas. Topical allylamines have been demonstrated to be clinically and mycologically effective. Tacrolimus 0.03% applied topically has been shown to provide a mycologically effective treatment; however, it is not effective in speeding the reduction in appearance of hypopigmentation associated with tinea versicolor.
Circulating Extracellular Vesicles in Human Disease Gerry Emanuel, ARNP, DCNP New York Eye and Ear Infirmary of Mount Sinai History & Philosophy of Care
Microscopy of Malassezia furfur Because the yeast grows naturally on your skin, tinea versicolor is not contagious. The condition can affect people of any skin color. It’s more likely to affect teens and young adults.
Acidic bleach from the growing yeast causes areas of skin to be a different color than the skin around them. These can be individual spots or patches. Specific signs and symptoms of the infection include:
Race Intertrigo Alopecia Start Now Disappear when the temperature drops and return in the spring or summer when the air turns warm and humid. Edition: ENGLISH DEUTSCH ESPAÑOL FRANÇAIS PORTUGUÊS
Put on sunscreen every day. Use a broad spectrum, non-greasy formula with a minimum sun protection factor (SPF) of 30. Appointment Part 3: Function
Dermatosis Papulosa Nigra (DPN) Media Gallery Summaries for consumers Previous meetings archive SIGN UP The variant tinea versicolor alba, has been especially noted in black patients, in which the more lightly pigmented spots or patches appear without a darker pigmentation stage.2
Leadership Learning Center First Aid Healthy Lifestyle Clinical Examination of the Shoulder OBJECTIVE: To evaluate and compare the efficacy of topical antifungal drugs applied to the treatment of each dermatomycosis.
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Suwattee P, Cham PM, Solomon RK, Kaye VN. Tinea versicolor with interface dermatitis. J Cutan Pathol. 2009 Feb. 36(2):285-6. [Medline].
Professionalism Award Find & Review Easing Rheumatoid Arthritis Pain The overgrowth of fungus that causes tinea versicolor interferes with the normal pigment production of the skin. This creates an uneven skin pigment.
Dermatology Advisor Twitter Symptoms Psychiatry Sometimes the spots are so faint that people do not realize they have tinea versicolor. If tinea versicolor causes light spots on the skin, it can be mistaken for vitiligo. Vitiligo is a skin disease that causes the skin to lose its natural color.
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