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]. Sarcoidosis FSMB Interstate Compact Psychiatric Disorders Is It Possible to Prevent Tinea Versicolor? During one of my routine visits to the dermatologist (I had pretty persistent acne as a teen), I finally asked the dermatologist about it. She identified it as tinea versicolor. She gave me a prescription, which calmed the itching. But my pigment never came back, and the white patches remained in place. Then, late last spring I started noticing more white patches spreading down on my stomach. I thought I had taken care of this! Why was it back? I finally decided to get it checked out by another NYC-based dermatologist Neal Schultz, M.D. And he quickly confirmed that my tinea versicolor was back. Health A – Z Community portal - Even if prescription medications are used, over-the-counter options can be used to eliminate the necessity of an office visit every time the rash recurs. Family Medicine Job | Work in Glenwood Springs | Play in Aspen Colorado Opportunities Michael J Wells, MD, FAAD Dermatologic/Mohs Surgeon, The Surgery Center at Plano Dermatology 中文 Experts & Community Breast & Body Procedures Research and Clinical Trials Jump up ^ Mohanty J, Sethi J, Sharma MK (2001). "Efficacy of itraconazole in the treatment of tinea versicolor". Indian J Dermatol Venereol Leprol. 67 (5): 240–1. PMID 17664760. Find a Job Tinea versicolor is a common skin condition. In countries with a more moderate climate it affects about 1% of the population, and in some tropical countries it affects about 40%. It is just as common in men as it is in women. Most people first get it at a young age. Stay connected 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. Who gets tinea versicolor? Understanding research results Advertising Policy itraconazole eMedicineHealth does not provide medical advice, diagnosis or treatment. This skin disease commonly affects adolescents and young adults, especially in warm and humid climates. The yeast is thought to feed on skin oils (lipids), as well as dead skin cells. Infections are more common in people who have seborrheic dermatitis, dandruff, and hyperhidrosis.[4] ©1996-2018 MedicineNet, Inc. All rights reserved. Terms of Use. Superfoods - Are you eating enough? Keloids Quality Health Solutions From Our Sponsors Ending Sexual Harassment in Academic Medicine  V.J. Dzau et al. Sex Current Issue Jupiter NEWS CASES CALCULATORS CHARTS CME DRUGS MEETINGS MULTIMEDIA RESOURCES Carreira A, Ferreira JB, Pereira I, Ferreira J, Filipe P, Ferreira RB, et al. Blad-containing oligomer: a novel fungicide used in crop protection as an alternative treatment for tinea pedis and tinea versicolor. J Med Microbiol. 2018 Feb. 67 (2):198-207. [Medline]. The patches are dry, flaky, or scaly, and can be flat or slightly raised. They may be a little itchy but often aren't felt at all. They can start off small and round, then join together to make much larger patches. Advocacy priorities Journal of the European Academy of Dermatology and Venereology REVIEW: Pityriasis versicolor alba. Volume 19 Issue 2 Page 147, March 2005 Drugs Additional Resources Oral therapy with other systemic antifungals is effective for tinea versicolor and is often preferred by patients because of convenience and oral administration is less time consuming than topical treatment. Of course, oral therapy can be used in consort with topical regimens. Fluconazole, and itraconazole are the preferred oral agents. [40, 41, 42] Various dosing regimens have been used. Fluconazole has been offered as a single 150- to 300-mg weekly dose for 2-4 weeks and is the safest oral agent. Itraconazole is usually given at 200 mg/d for 7 days. Pramiconazole and sertaconazole have also been used in the management of tinea versicolor. [43, 44] A review suggested the following dosing regimens: 200 mg/d for 5 or 7 days of itraconazole, 300 mg/wk for 2 weeks of fluconazole, and 200 mg/d for 2 days of pramiconazole. [45] Test your knowledge Procedures & Exams References: Drug Database Research Faculty Medical Departments and Centers Philanthropy in Action Biopsy rarely is necessary and shows abundant hyphae and spores in the stratum corneum. Likewise, culture generally is not necessary and requires special medium with the addition of olive oil to Sabouraud’s medium. Tinea versicolor, also referred to as pityriasis versicolor, is a skin infection that causes small patches to form on your skin. It is caused by a type of fungus that is found on almost everyone's skin. Tinea versicolor is usually not harmful or contagious. In most cases it can be treated effectively with medicinal shampoo, or lotions or creams. More Topics Aesthetic Medicine The symptoms of this condition include: Visit WebMD on Pinterest About NEJM Gary W. Cole, MD, FAAD Practice Tools Pityriasis versicolor is an alternative name for tinea versicolor (TV) and one preferred by some specialists because tinea technically refers to non-yeast, dermatophyte fungal infections, the type of fungus that affects the body (tinea corporis, commonly known as ringworm), feet (tinea pedis, also called athlete's foot), or groin (tinea cruris, referred to as jock itch). Since the cause of tinea versicolor is a yeast rather than a true dermatophyte fungus, the term pityriasis versicolor (spots of different colors) is technically more accurate. Though technically imprecise "tinea versicolor" is much more widely used. Treatment of tinea versicolor is any topical antifungal drug. Examples include selenium sulfide shampoo 2.5% (in 10-min applications daily for 1 wk or 24-h applications weekly for 1 mo); topical azoles (eg, ketoconazole 2% daily for 2 wk); and daily bathing with zinc pyrithione soap 2% or sulfur-salicylic shampoo 2% for 1 to 2 wk. Laurie Lenz, DO Tinea versicolor is a relatively common fungal infection that causes skin discoloration. Here's how to get rid of it. First Aid Related Articles Association Health Plans Can Help Small Businesses Offer Coverage Medically Reviewed on 12/4/2017 Special Offers View all multimedia Audio Interviews Young Physician Focus Cosmetics and Skin Renewal Gaitanis G, Magiatis P, Hantschke M, Bassukas ID, Velegraki A. The Malassezia genus in skin and systemic diseases. Clin Microbiol Rev. 2012 Jan;25(1):106-41. doi: 10.1128/​CMR.00021-11. Review. PubMed PMID: 22232373; PubMed Central PMCID: PMC3255962. Academy resources for: An example of mild tinea versicolor, or a fungal infection on the skin. Sarcoidosis Call for nominations Skin Cancer What causes it Drugs A – Z Advertisement 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. Aspirin-Exacerbated Respiratory Disease More about Tinea versicolor News Prohic A, Jovovic Sadikovic T, Krupalija-Fazlic M, Kuskunovic-Vlahovljak S. Malassezia species in healthy skin and in dermatological conditions. Int J Dermatol. 2016 May. 55 (5):494-504. [Medline]. Jump up ^ "versicolor". Collins English Dictionary — Complete & Unabridged 10th Edition. HarperCollins Publishers. Retrieved March 2, 2013. Allergy Pityriasis alba: This is a mild form of eczema (seen in young people) that produces mild, patchy lightening of the face, shoulders, or torso. Abimael Rivera-Cruz, MD Advertisement Permissions Guidelines 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. Living Well Hu, SW, Bigby, M. "Pitryriasis versicolor: a systematic review of interventions". Arch Dermatol. vol. 146. 2010. pp. 1132-40. The main predisposing factors of tinea versicolor include: Dermnet Skin Disease Atlas About Medscape Privacy Policy Cookies Terms of Use Advertising Policy Help Center Vein Center Overview Body Doctors often can diagnose pityriasis versicolor just by looking at it. They'll also ask about the symptoms and the child's lifestyle. Sometimes a doctor will scrape off a small sample of the flaky infected skin to look at under a microscope or to test in a lab. Eye Health Vitamin D: How Much is Enough? 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] See additional information. Sebring Medication Menopause Training Grant Programs Random article Allergy MACRA Pale, dark tan, or pink in color, with a reddish undertone that can darken when the patient is overheated, such as in a hot shower or during/after exercise. Tanning typically makes the affected areas contrast more starkly with the surrounding skin.[9] tinea unguium | tinea versicolor head and shoulders tinea unguium | tinea versicolor ketoconazole shampoo tinea unguium | tinea versicolor natural cure
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