Clotrimazole (Lotrimin, Mycelex) Close Painful skin / joints Visit WebMD on Facebook Child Nutritional Needs CME & Education In those who have frequent recurrences, antifungal shampoo or oral antifungal treatment may be prescribed for one to three days each month. Merck & Co., Inc., Kenilworth, NJ, USA is a global healthcare leader working to help the world be well. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.  The Merck Manual was first published in 1899 as a service to the community.  The legacy of this great resource continues as the Merck Manual in the US and Canada and the MSD Manual outside of North America.  Learn more about our commitment to Global Medical Knowledge. Phillips School of Nursing Since the causative fungus lives on skin, recurrence of tinea versicolor is common. The return rate can be as high as 60% in the first year of tinea versicolor diagnosis, and increase to 80% in the second year. Preventative therapy such as weekly applications of any of the topical treatment options once weekly for 2-3 months following treatment and then during summer months may help prevent recurrence. Oral therapy does not prevent the high rate of recurrence, and treatment with an oral or topical agent may need to be repeated intermittently throughout the year. Because tinea versicolor is a benign condition and oral therapy is not without risk, the decision to treat with an oral agent should be made only after a complete discussion of the risks involved. [46] In the case of oral terbinafine, some subgroups of M furfur apparently are not clinically responsive, although in vitro studies suggest fungistatic activity. [47] Also, a regimen of 1 tablet a month of fluconazole or itraconazole has been used successfully to prophylactically prevent recurrences. [48] Drake, LA, Dinehart, SM, Farmer, ER, Goltz, RW, Graham, GF, Hordinsky, MK. "Guidelines of care for superficial mycotic infections of the skin: pityriasis (tinea) versicolor". J Am Acad Dermatol. vol. 34. 1996. pp. 287-9. Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may apply. By using this site, you agree to the Terms of Use and Privacy Policy. Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization. skin Pet Care Essentials Financial Assistance You might also like: 6 Coconut Oil Beauty Hacks That Will Change Your Life Patient Portal Instructions & Forms Radiation Oncology Patient Care & Health Information Special Subjects VIEW ALL > Mayo Clinic Graduate School of Biomedical Sciences Oral Health Author: A/Prof Amanda Oakley, Dermatologist, Hamilton, New Zealand, 1997. Updated September 2014. Article Alert Erythema Multiforme An example of mild tinea versicolor, or a fungal infection on the skin.   © 2018 DermNet New Zealand Trust. Accessibility Apphia Wang, MD Copyright © 2018 Haymarket Media, Inc. All Rights Reserved Reconstructive Surgery Ease Psoriatic Arthritis Pain Experts News & Experts Lab Values, Normal Arcadia Blog Electron Beam Therapy Parenting Guide 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]. Over-the-counter (OTC) antifungal creams, lotions, or shampoos (used as a body wash) may solve a mild infection. More serious infections may need prescription medicine, either applied to the skin or takens as a pill or syrup. Infections Medical Dermatology Tinea versicolor can usually be diagnosed simply based on the typical groupings of smaller light or dark patches on the upper body and/or arms. To rule out other possible skin conditions, your doctor might use a transparent adhesive strip to take a sample of the scaly skin and inspect it under a microscope. This is usually enough to determine whether it is tinea versicolor. Skip to main content The rash typically begins to appear on the upper arms, chest, and back. The yeast infection causes skin to change color, typically in small one-eighth or quarter-inch spots. The skin can turn pinker, lighter, or darker. “Light-colored skin tends to get darker spots, while dark-colored skin seems to [turn] lighter,” says Schultz. In some cases of tinea versicolor (like mine) skin turns white because the fungus produces azelaic acid, which bleaches and lightens the skin. And once the infection has passed, it could take a few months for the skin to get back its proper pigment, explains Prystowsky. Microscopy of Malassezia furfur Share View all multimedia Click here for Members Making a Difference Award Living Better With Migraine Meetings & events Jump up ^ Prohic A; Ozegovic L. (January 2007). "Malassezia species isolated from lesional and non-lesional skin in patients with pityriasis versicolor". Mycoses. 50 (1): 58–63. doi:10.1111/j.1439-0507.2006.01310.x. PMID 17302750. While you may not be happy with how it looks, it's usually painless and harmless Browse recently published Effect of Aspirin on All-Cause Mortality in the Healthy Elderly  J.J. McNeil et al. Learn about your skin condition and treatment options Ending Sexual Harassment in Academic Medicine  V.J. Dzau et al. Dermatologic Disorders So how do you treat it? Quality close CME & Education It is relatively simple procedure to confirm this diagnosis. A drop of potassium hydroxide is applied to a small scraping of involved skin which is then examined under the microscope. The penne-and-meatball forms can be seen and confirm the diagnosis. Patient Comments: Tinea Versicolor - Signs and Symptoms Policies and Guidelines | Contact - 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. Merck Manuals Classification D follow us on home skin conditions & beauty centerTopic Guide Borelli, D, Jacobs, PH, Nall, L. "Tinea versicolor: epidemiologic, clinical, and therapeutic aspects". J Am Acad Dermatol. vol. 25. 1991. pp. 300-5. Network adequacy About Mayo Clinic Carilion Clinic, Roanoke, VA How to prevent it Mentor Application 2 Pathophysiology Departments & Centers Healthy Lifestyle The Mount Sinai Hospital You have oily skin Dandruff Departments & Centers Pityriasis versicolor is not contagious. Many people get tinea versicolor. It is one of the most common skin diseases in tropical and subtropical areas of the world. People who live in tropical areas may have tinea versicolor year-round. 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]. Pityriasis Alba Pityriasis versicolor most frequently affects young adults and is slightly more common in men than in women. It can also affect children, adolescents and older adults. WATER'S EDGE GETS 4+ Star Ratings on Leading Ratings & Review Sites Acne in Skin of Color Skin, hair, and nail care Look at the skin with a special device called a Wood's lamp. The dermatologist will hold the Wood's lamp about 4 or 5 inches from the affected skin. If the patient has tinea versicolor, the affected skin appears yellowish green in color when looked at with this lamp. If a fungus grows a lot it may lead to a medical condition. Tinea versicolor is one example. This skin condition is caused by a fungus, and is usually harmless. Many people who have it don’t know that a fungus is to blame for their discolored skin patches. Read about the typical symptoms and effective treatments. Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. Log out Cancel Hot, humid weather Aspire Find This Our Apps Pityriasis versicolor is a fungal skin infection caused by a type of yeast. It's a common cause of skin rash in teens and young adults. It causes lots of round and oval-shaped patches on the skin, especially on the chest, back, and upper arms. Terbinafine gel Haiduk J, Treudler R, Ziemer M. Atrophying tinea versicolor with epidermal atrophy. J Dtsch Dermatol Ges. 2016 Jul. 14 (7):740-3. [Medline]. August 3, 2018 Emergency Medicine Special Report America's Pain: The Opioid Epidemic Mount Sinai Brooklyn Venice Jump up ^ Ratnavel RC, Squire RA, Boorman GC (2007). "Clinical efficacies of shampoos containing ciclopirox olamine (1.5%) and ketoconazole (2.0%) in the treatment of seborrhoeic dermatitis". J Dermatolog Treat. 18 (2): 88–96. doi:10.1080/16537150601092944. PMID 17520465. pinterest - Pityriasis rosea (PR). PR starts with a “herald patch” days before onset of the generalized eruption; the eruption consists of thin flesh-colored or pink oval plaques with a trailing collarette of scale, typically in a “Christmas tree” distribution on the trunk and proximal extremities. PR usually resolves spontaneously in 4-8 weeks. Medical Bag Why You Smell Disclosure: Nothing to disclose. Tinea versicolor. American Academy of Dermatology. Accessed March 15, 2018. Genetics Gallery of Skin Problems and Images Collection Browse Omeprazole Sign up for the free NEJM What were your signs and symptoms associated with tinea versicolor? Migraine or HeadacheWhat's the Difference? (Source: Wikipedia) Spider Bites: What You Need to Know Watch educational videos & more! Audio Calculators Privacy Policy In the News Careers Advertising Policies Previously featured Obstetrics/Gynecology Article Categories Lorie Gottwald, MD is a member of the following medical societies: American Academy of Dermatology, American College of Physicians, American Medical Association, American Medical Student Association/Foundation, and American Medical Women's Association Updated by: Kevin Berman, MD, PhD, Atlanta Center for Dermatologic Disease, Atlanta, GA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team. 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. Ambient Particulate Matter Linked to Emergency Asthma Care Search Copyright © 2018 Haymarket Media, Inc. All Rights Reserved Dermatology Advisor > Decision Support in Medicine > Dermatology > Tinea Versicolor (pityriasis versicolor) HIT Recognized Credit Career planning Reviews Step therapy legislation Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. Research Award Tips and Checklist Oral Thrush Abbreviations More News More Student Stories versicolor | tinea versicolor tea tree oil versicolor | tinea versicolor african american versicolor | selenium sulfide tinea versicolor
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