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Are You Confident of the Diagnosis? Search term Sign up for the free NEJM Tinea Capitis Read more: Picture of Eczema The Cardiology Advisor
Related information Synonyms Dermatomycosis furfuracea,[1] pityriasis versicolor,[1] tinea flava,[1] lota Tinea versicolor usually produces few symptoms. Occasionally, there is some slight itching that is more intense when a person gets hot.
Karakas M, Durdu M, Memisoglu HR. Oral fluconazole in the treatment of tinea versicolor. J Dermatol. 2005 Jan. 32(1):19-21. [Medline]. Lauren N Crouse The Brody School of Medicine at East Carolina University
Pityriasis versicolor: a systematic review of interventions
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Causes Craig G Burkhart, MD, MPH Clinical Professor, Department of Medicine, Medical College of Ohio; Clinical Assistant Professor, Department of Medicine, Ohio University College of Osteopathic Medicine
Candidiasis (Mucocutaneous) Health Policy In people with dark skin tones, pigmentary changes such as hypopigmentation (loss of color) are common, while in those with lighter skin color, hyperpigmentation (increase in skin color) is more common. These discolorations have led to the term “sun fungus”.[12]
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MetFORMIN What is a systematic review? Academy resources for: Share on: FacebookTwitter Skin Tags: What Are They? This title designates a superficial fungal infection (tinea) that changes color (versicolor). See a picture of Tinea Versicolor and learn more about the health topic.
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Mary Anne Torongo Tinea versicolor is a fungal infection of the skin. It’s also called pityriasis versicolor and is caused by a type of yeast that naturally lives on your skin. When the yeast grows out of control, the skin disease, which appears as a rash, is the result.
AHA-RC, Salicylic Acid, Lactic Acid Combo Beneficial for Acne Eczema: How To Control It Kallini, Joseph R., Riaz, Fauzia, and Amor Khachemoune. “Tinea Versicolor in Dark-Skinned Individuals.” International Journal of Dermatology 53 (2014): 137-141.
Chronic Skin Conditions Medications What Does Tinea Versicolor Looks Like? Crespo-Erchiga V, Florencio VD. Malassezia yeasts and pityriasis versicolor. Curr Opin Infect Dis. 2006 Apr. 19(2):139-47. [Medline].
Our Mission BY EMILY SHIFFER MAY 4, 2018 Itraconazole (Onmel, Sporanox) tablets, capsules or oral solution
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Prognosis Latest News Carrillo-Munoz AJ, Giusiano G, Ezkurra PA, Quindos G. Sertaconazole: updated review of a topical antifungal agent. Expert Rev Anti Infect Ther. 2005 Jun. 3(3):333-42. [Medline].
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Lim SL, Lim CS. New contrast stain for the rapid diagnosis of pityriasis versicolor. Arch Dermatol. 2008 Aug. 144(8):1058-9. [Medline]. A 24-year-old woman presented with a 12-year history of a depigmenting rash. The rash was most notable in the summer months, with remission during cooler seasons. She reported prominent scaling of her skin, particularly after showering. Over the preceding 2 to 3 years, the rash had spread to include her entire torso with extension down her arms. She was concerned that facial involvement might occur. Previous therapies with multiple topical antifungal agents had not regenerated skin pigmentation. Physical examination revealed large, coalescing, hypopigmented patches and macules on her torso and upper arms (Panel A) with scant scaling. A skin biopsy was performed to evaluate for vitiligo. Melan-A staining confirmed a normal presence of melanocytes (Panel B, arrows). Subsequent periodic acid–Schiff staining revealed the presence of yeast in a “spaghetti and meatball” pattern in the superficial epidermis (Panel C, arrow). A diagnosis of tinea versicolor was made. Scaling that results from stretching or scraping of the skin is suggestive of tinea versicolor and should prompt examination under the microscope, when possible, of skin scrapings treated with potassium hydroxide or chlorazol black E. Given the extensive skin involvement, the patient was treated with a course of oral fluconazole and topical ketoconazole; the patient was lost to follow-up. The process of skin repigmentation may take months once the fungal cause is eliminated.
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Step therapy legislation Challenge Yourself – Selenium sulfide shampoo 2.5%, ketoconazole shampoo 2%, or zinc pyrithione shampoo. Apply to the entire skin surface on neck, trunk, and proximal extremities for 5 to 10 minutes daily for 1 to 4 weeks.
Share on: FacebookTwitter Fort Pierce Tips Exercise & Fitness Power of Probiotics After any form of treatment, the uneven color of the skin may remain several months after the yeast has been eliminated. Tinea versicolor may reappear. To prevent recurrences, special cleansers may need to be used once or twice a month.
Executive summaries Cite this Page Policy [lockerdome] 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.
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MetFORMIN Audio Interviews Dirk M Elston, MD is a member of the following medical societies: American Academy of Dermatology Top Tinea Versicolor Related Articles
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Tinea versicolor. Merck Manual Professional Version. https://www.merckmanuals.com/professional. https://www.merckmanuals.com/professional/dermatologic-disorders/fungal-skin-infections/tinea-versicolor. Accessed March 15, 2018.
Introduction Sarcoidosis ClearTurn OffTurn On Occasionally white marks persist long after the scaling and yeasts have gone and despite exposure to the sun. In such cases, further antifungal treatment is unhelpful.
3. Yang YS, Shin MK, Haw CR. Atrophying pityriasis versicolor: is this a new variant of pityriasis versicolor? Ann Dermatol. 2010 Nov;22(4):456-9.
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Tinea versicolor is a common, benign, superficial cutaneous fungal infection usually characterized by hypopigmented or hyperpigmented macules and patches on the chest and the back. In patients with a predisposition, tinea versicolor may chronically recur. The fungal infection is localized to the stratum corneum. Note the image below.
Gold M, Bridges T, Avakian E, Plaum S, Pappert EJ, Fleischer AB, et al. An open-label study of naftifine hydrochloride 1% gel in the treatment of tinea versicolor. Skin Med. Sept 2011. 9:283-6. [Medline].
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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Clotrimazole, (Lotrimin AF, Gyne-Lotrimin, Alevazol, Desenex, Pro-Ex Antifungal) is a drug prescribed to treat local fungal infections such as vaginal yeast infections, oral thrush, athlete’s foot, and jock itch. Side effects, drug interactions, dosage, and pregnancy safety should be reviewed prior to taking this medication.
Smaller areas of tinea versicolor may be treated with topical medications, but extensive involvement and recurrences are best treated with oral medications. The treatment course depends upon the medication chosen, but short and pulse-dose methods are effective at controlling the yeast. The discoloration will take much longer to resolve, and there is no reason to extend the treatment until clearance. Effective oral agents include ketoconazole (Nizoral), itraconazole (Sporonox), and fluconazole (Diflucan). Griseofulvin (Gris-peg) is not effective for yeast and should not be used.
Even though Malassezia is a component of the normal flora, it can also be an opportunistic pathogen. The organism is considered to be a factor in other cutaneous diseases, including Pityrosporum folliculitis, confluent and reticulate papillomatosis, seborrheic dermatitis, psoriasis, and some forms of atopic dermatitis. Malassezia species have also been shown to be a pulmonary pathogen in patients with immunosuppression due to stem cell transplantation. [10]
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