tinea manuum | tinea versicolor itch

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“Tinea versicolor is especially common in the summer months. This particular yeast is called Malassezia, and it usually lives on our skin without any issues. At certain times, though, it can overgrow, especially in hot and humid weather,” says Rajani Katta MD, author of Glow: The Dermatologist’s Guide to a Whole Foods Younger Skin Diet.
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Educational Offerings Drug Database AAD Meeting News Nakabayashi A, Sei Y, Guillot J. Identification of Malassezia species isolated from patients with seborrhoeic dermatitis, atopic dermatitis, pityriasis versicolor and normal subjects. Med Mycol. 2000 Oct. 38 (5):337-41. [Medline].
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Cold & Flu Featured Services All Services From Wikipedia, the free encyclopedia People who have a weakened immune system are generally more susceptible to infections, so they are also more likely to be affected by tinea versicolor. Things that can weaken the immune system include having certain types of cancer or taking medication that suppresses the immune system – following an organ transplant, for instance. Tinea versicolor also appears to run in families.
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However, tinea versicolor can look different in patients with skin of color: What is the treatment of pityriasis versicolor? How Tinea Versicolor Is Treated Jump to navigationJump to search
Skin Infections Signs of tinea versicolor include spots or patches or variable color, which may range from white to light or dark brown to pink or red to gray-black. These spots or patches are visible. You may also have mild itching.
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Several oral medications have been used successfully to treat tinea versicolor. Because of possible side effects or interactions with other medications, the use of these prescription medicines should be supervised by your Water’s Edge Dermatology practitioner.
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The spots may disappear during cool weather and get worse during warm and humid weather. They may be dry and scaly and may itch or hurt, although this is not common.
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Tinea Versicolor (pityriasis versicolor) People of all skin colors get it.
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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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– Progressive macular hypomelanosis consists of nonscaly hypopigmented macules on the trunk of young adults, typically in patients of African-American lineage. KOH exam is negative. This condition is likely due to the presence of Propionibacterium acnes altering melanogenesis. Treatment directed toward the bacteria may be effective.
Find & Review twitter Michael Siino, PA-C Bent Fingers? Papules, Scales, Plaques and Eruptions However, tinea versicolor can look different in patients with skin of color:
Permissions Jennifer Rivera, ARNP History is suggestive when an individual reports an asymptomatic or minimally pruritic eruption that appears and/or recurs on the upper trunk and proximal arms, areas rich in sebaceous glands, in warm weather months.
Janaki C, Sentamilselvi G, Janaki VR, Boopalraj JM. Unusual observations in the histology of Pityriasis versicolor. Mycopathologia. 1997. 139(2):71-4. [Medline].
Spots that may occur anywhere on your body but are most commonly seen on your neck, chest, back, and arms.
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The yeast tends to live on dead skin and gravitates towards oil. Also, the yeast tends to spread in warm, humid weather, which is why I was always noticing it more in the late spring and summer. “The yeast is an opportunist, so when conditions are ripe for it to multiply, it gets going,” says Schultz. No wonder the American Academy of Dermatology lists it as one of the most common skin diseases in tropical and sub-tropical areas. Once you’ve been diagnosed with tinea versicolor, it’s not something that can be cured. The yeast malassezia is always there as a part of the microbial ecosystem on your skin, and the patches can keep recurring, but there are ways to manage the symptoms.
Prior authorization assistance Each patient is treated by your Water’s Edge Dermatology practitioner according to the severity and location of the disease, the climate, and the desire of the patient. It’s important to remember that the yeast is easy to kill, but it can take weeks or months for the skin to regain its normal color.
View All Readers Comments 2 Latest News in Skin The rash has small, scaly, white-to-pink-to-tan-to-dark spots. These spots are scattered over the upper arms, chest, and back, and may sometimes appear on the neck and face. On light skin, they may be faint or they may show up as tan-to-pink spots, while on dark skin they may be light or dark.
Resources Tinea Nigra (tinea nigra palmaris, tinea nigra plantaris, pityriasis nigra, keratomycosis nigricans palmaris) Sign up Now Wellness, Meet Inbox
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Katherine Smyth Atwood, PA-C Employment Facts and Figures But even when treatment works, it can take up to several weeks or months for the skin patches to disappear. Only in rare cases are tablets needed.
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    OTC drugs are available without a prescription, simply “over the counter.” Find an easy-to-follow format to help you understand which products may work better for specific conditions and how to choose the products that are most appropriate.
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    Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
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    Dirk M Elston, MD Professor and Chairman, Department of Dermatology and Dermatologic Surgery, Medical University of South Carolina College of Medicine
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    Once treated, maintenance body washes with over-the-counter (OTC) or prescription dandruff shampoos can prevent or decrease the rate of recurrence of tinea versicolor.

  4. Tinea versicolor is more common in males than females. It is most common in the teens and 20s than in younger and older individuals. These risk factors likely have to do with age and hormonally related variations in the natural skin oils. There are quantitative and qualitative changes in natural skin oils with puberty that gradually subside with age. Some have noticed that the condition worsens in hot and humid environments and seasons, something seen with most yeast and fungal infections. Worldwide it is quite common in hot, humid environments and is rare in dry northern nations.
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    Crespo-Erchiga V, Florencio VD. Malassezia yeasts and pityriasis versicolor. Curr Opin Infect Dis. 2006 Apr. 19(2):139-47. [Medline].
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  6. Janaki C, Sentamilselvi G, Janaki VR, Boopalraj JM. Unusual observations in the histology of Pityriasis versicolor. Mycopathologia. 1997. 139(2):71-4. [Medline].
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    Appear anywhere on the body.
    Reduce your exposure to the sun. Exposure to the sun may trigger or worsen an episode, and a tan makes the rash more visible.

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    Garcia, CR, Johnston, BL, Corvi, G, Walker, LJ, George, WL. “Intravenous catheter-associated Malassezia furfur fungemia”. Am J Med. vol. 83. 1987. pp. 790-2.
    While you may not be happy with how it looks, it’s usually painless and harmless

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  9. Try to confirm the diagnosis by finding hyphae and budding cells on potassium hydroxide wet mount of fine scale scrapings.
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    There are many antifungal agents available to apply to the skin for the treatment of tinea versicolor. Over-the-counter (OTC) remedies include clotrimazole (Lotrimin, Mycelex) and miconazole (Lotrimin). These should be applied twice a day for 10-14 days but come in small tubes and are hard to apply to large areas. Another OTC option is selenium sulfide shampoo 1% (Selsun Blue) or 1% ketoconazole shampoo (Nizoral). Some doctors recommend applying these for 15 minutes twice a week for two to four weeks.
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    If tinea versicolor is mild, you may be able to treat it yourself. There are anti-fungal products that you can buy without a prescription. These include:
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