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The organism can be found on healthy skin and on skin regions demonstrating cutaneous disease. In patients with clinical disease, the organism is found in both the yeast (spore) stage and the filamentous (hyphal) form. Factors that lead to the conversion of the saprophytic yeast to the parasitic, mycelial morphologic form include a genetic predisposition; warm, humid environments; immunosuppression; malnutrition; pregnancy; and Cushing disease. Human peptide cathelicidin LL-37 plays a role in skin defense against this organism.
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Mentor Application 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:
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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Potassium hydroxide preparation showing characteristic hyphae and spores of tinea versicolor. Contact Sign Out About the CME program
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Correction Policy Topical antifungals The organism can be found on healthy skin and on skin regions demonstrating cutaneous disease. In patients with clinical disease, the organism is found in both the yeast (spore) stage and the filamentous (hyphal) form. Factors that lead to the conversion of the saprophytic yeast to the parasitic, mycelial morphologic form include a genetic predisposition; warm, humid environments; immunosuppression; malnutrition; pregnancy; and Cushing disease. Human peptide cathelicidin LL-37 plays a role in skin defense against this organism.
What is the Evidence? Resource Library Medical Author: (Hypopigmented truncal macules, typically occurring in young adults of color)
Why Do I Have Sores on My Head? Pregnancy & Baby When to see a doctor SELSUN In cases of tinea versicolor caused by the fungus Malassezia furfur, lightening of the skin occurs due to the fungus’s production of azelaic acid, which has a slight bleaching effect.[13]
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Infectious Disease Taking Meds When Pregnant Qiao J, Li R, Ding Y, Fang H. Photodynamic therapy in the treatment of superficial mycoses: an evidence-based evaluation. Mycopathologia. 2010. 170:339-343. [Medline].
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Tinea versicolor: Diagnosis and treatment Red, itchy, and scaly skin? Discover common skin conditions like psoriasis, rashes, and more in the collection of medical photos.
Edit links Picture of pink scaly spots and patches of tinea versicolor on light skin. SOURCE: Wikicommons Products & Services Using the Law to Protect Public Health
Recurrent Headaches in a 31-yr-old Woman 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.
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Some home remedies such as coconut oil, oregano oil, and Indian lilac have the potential to encourage growth of the yeast, especially when they use an olive oil base. Yogurt has been recommended to be ingested and applied topically for the probiotic effect.
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Zhou H, Tang XH, De Han J, Chen MK. Dermoscopy as an ancillary tool for the diagnosis of pityriasis versicolor. J Am Acad Dermatol. 2015 Dec. 73 (6):e205-6. [Medline]. Shop
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The main complication of tinea versicolor is the skin discoloration that persists for weeks after treatment because the melanocytes (skin color-producing cells) require time to recover and properly pigment the skin. There are no permanent complications of tinea versicolor. As an entirely surface infection/colonization, there is no concern for deeper invasion in patients with intact immune systems. Malassezia may be a factor in pityrosporum folliculitis and, in stem-cell-transplant patients, may be a cause of lung problems.
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7 Psoriasis Triggers to Avoid REFERENCES: Jeffrey Rand, MD Tinea versicolor is a benign skin disease that causes scaly macules or papules on the skin. As the name implies (versi means several), the condition can lead to discoloration of the skin, with colors ranging from white to red to brown. The condition is not considered contagious because the causative fungal pathogen is a normal inhabitant of the skin. Treatment leads to cessation of scaling within a few days, but discoloration may last for weeks to months. If scale cannot be provoked and new lesions are not developing, then there is no need to repeat treatment and the patient can be reassured that ongoing infection in unlikely.
Prohić A, Jovović Sadiković T, Kuskunović-Vlahovljak S, Baljić R. Distribution of Malassezia Species in Patients with Different Dermatological Disorders and Healthy Individuals. Acta Dermatovenerol Croat. 2016 Dec. 24 (4):274-281. [Medline].
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Tinea versicolor occurs worldwide, with prevalences reported to be as high as 50% in the humid, hot environment of Western Samoa and as low as 1.1% in the colder temperatures of Sweden.
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