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 Overview of Dermatophytoses Current Issue Continuing Medical Education Media Sydney VanHoose, ARNP Membership Dues: 2018 Exposure to sunlight Kilic M, Oguztuzum S, Karadag S, Cakir E, Aydin M, Ozturk L. Expression of GSTM4 and GSTT1 in patients with Tinea versicolor, Tinea inguinalis, and Tinea pedis infections: a preliminary study. Clinical Dermatology. 2011. 36:590-594. [Medline]. Who gets pityriasis versicolor? Terms Pill Identifier What is the prognosis of tinea versicolor? Endocrinology By Emily Rekstis The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright 1997-2018, A.D.A.M., Inc. Duplication for commercial use must be authorized in writing by ADAM Health Solutions. Tinea Versicolor Quick Overview Health Volunteers Overseas Grant Keep up with the new WEderm Blog, a blend of insider info and latest news on medical & cosmetic dermatology, aesthetic skincare, plastic surgery, skin cancer diagnosis & treatment, vein health, and more. Share via Twitter Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. About the Tinea Versicolor Patches For Developers The diagnosis of tinea versicolor is often made clinically (by appearance), but the best way to make the diagnosis is with a potassium hydroxide (KOH) scraping that shows a characteristic "spaghetti and meatballs" of hyphae (which resemble long branches) and spores (spheres). Sometimes the yeast can be found after stripping the skin surface with clear adhesive tape and examining the tape under the microscope. Culture on regular fungal culture media requires the addition of fatty acids such as olive oil and is rarely necessary for diagnosis. Biopsy may show the yeast hyphae and spores, but biopsies are generally only recommended for unusual cases and those not responding to therapy in the consideration of other diagnoses. Issue Index Quick Takes What Is Tinea Versicolor? State policy Created: December 17, 2014; Last Update: June 1, 2017; Next update: 2020. Manage Email Preferences Media related to Tinea versicolor at Wikimedia Commons Treatment of tinea versicolor for people with skin of color typically involves using topical antifungal agents. Clearance of the disease can be achieved but recurrence is common. There is  no permanent scarring or skin color changes, though the change in skin color can take 3-4 months or more to improve. Additional Skin Conditions Commonly Searched Drugs Treat Pets for Fleas Residents and Fellows Resource Center Health in Young Adults You live in a hot climate Keyword Advanced Search Sodium thiosulphate solution People who live in non-tropical areas often see tinea versicolor disappear during the cool, dry months. If your spots don;t improve with treatment after one to two weeks, it’s a good idea to see a physician or dermatologist for prescription options, says Evan Rieder, MD, a dermatologist at NYU Langone. The prescription options are similar to the over-the-counter options, including anti-fungal shampoos, creams and ointments. 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. Edition: ENGLISH DEUTSCH ESPAÑOL FRANÇAIS PORTUGUÊS Tatnall FM, Rycroft RJ. Pityriasis versicolor with cutaneous atrophy induced by topical steroid application. Clin Exp Dermatol. 1985 May. 10 (3):258-61. [Medline]. Plantation Skin cancer ciclopirox Sun Protection for Skin of Color Heart - Cardiology and Cardiovascular Surgery Systemic Diseases Images used with permission of the American Academy of Dermatology National Library of Dermatologic Teaching Slides. Color problems From Wikipedia, the free encyclopedia Tinea versicolor is a superficial infection resulting from a normal body yeast. It normally affects the back, shoulders, and upper chest, although it can involve the neck, upper arms, and rarely, the face. It produces a substance that leads to bleaching of the skin and pale patches that last for weeks, even after effective treatment. Patches of skin discoloration, usually on the back, chest, neck and upper arms, which may appear lighter or darker than usual Entertainment Drugs & Diseases Tinea Versicolor - Treatments Schultz recommends over-the-counter shampoos or body cleansers with chemical exfoliants like salicylic or glycolic acid to get tinea versicolor under control. “Because it just lives in the superficial layers of skin, anything that gets rid of the top layer of dead cells is really going to work," he says. Or you can use anti-fungal shampoos with active ingredients that actually kill the yeast instead of just peeling it off. Look for selenium sulfide on the label, which you can find in Selsun Blue shampoo ($9, walgreens.com). And if you see a dermatologist, they’ll probably prescribe you Ketoconazole shampoo, which is a stronger anti-fungal shampoo. No matter which product you choose, the method is the same: Apply the product to the hair and on your body where the rash is present. Leave on for 5-10 minutes, then rinse. Julie Forero, DO Derm Exam Prep Course Event calendar Drugs & Diseases > Dermatology Physician Directory Bumps and growths Methods resources Digestive Diseases - Gastroenterology Tinea versicolor can return. When the air outdoors is warm and humid, the yeast can quickly grow out of control. Some people who live in a tropical climate may need to use a medicated cleanser year round to prevent the yeast from overgrowing. People who live in an area that becomes warm and moist each spring may see tinea versicolor return every year. Pityriasis Rosea Shop Protect Your EyesightWarning Signs of Common Eye Conditions The knowledge you trust. Fungal culture—this is usually reported to be negative, as it is quite difficult to persuade the yeasts to grow in a laboratory Itraconazole (Onmel, Sporanox) tablets, capsules or oral solution MetFORMIN Living With HIV AIDS BY EMILY SHIFFER MAY 4, 2018 Clinical Charts Be dry and scaly. Coding and reimbursement Pregnancy After 35 Sign up Now Cardiology Pityriasis versicolor is a common yeast infection of the skin, in which flaky discoloured patches appear on the chest and back. Kathryn Schwarzenberger, MD is a member of the following medical societies: Women's Dermatologic Society, American Contact Dermatitis Society, Medical Dermatology Society, Dermatology Foundation, Alpha Omega Alpha, American Academy of Dermatology The Merck Manual: "Tinea Versicolor." Beauty Mobile app Craig G Burkhart, MD, MPH is a member of the following medical societies: Association of Military Dermatologists, American College of Aesthetic and Cosmetic Physicians; American Society of Aesthetic/Cosmetic Physicians, Michigan Dermatological Society, Academy of Medicine of Toledo and Lucas County, Ohio Dermatological Association, American Academy of Dermatology, Ohio State Medical Association, Phi Beta Kappa Your doctor may also take a skin sample by scraping some skin and scales from the affected area to look at under a microscope. With children, the doctor may lift off skin cells by first firmly attaching clear tape to the affected area and then removing it. The sample then can be stuck directly onto a slide to be looked at with a microscope. BACKGROUND: Extensive or recurrent tinea versicolor (TV) can be treated with systemic antifungal therapies, but no dosing regimens have been approved for this indication. Public & patients Metrics NIH fluconazole Shawna Sopher Francisco “Pancho” Ancaya, PA-C LGBT Services 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. MedTerms Dictionary The main symptoms of tinea versicolor are circular or oval colored patches of skin that most commonly form on your back, chest, neck and/or arms. Children often have these patches on their face as well. Tinea versicolor is caused by a type of fungus that is found on almost everyone’s skin. It’s not clear exactly why the fungus grows and causes visible patches in some people but not in others. Tinea versicolor has nothing to do with poor hygiene, and it’s not contagious. Mary Anne Torongo Expected results of diagnostic studies View All 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. Shawna Sopher Crowson AN, Magro CM. Atrophying tinea versicolor: a clinical and histological study of 12 patients. Int J Dermatol. 2003 Dec. 42 (12):928-32. [Medline]. Dermatology Advisor > Decision Support in Medicine > Dermatology > Tinea Versicolor (pityriasis versicolor) 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. Tinea versicolor shows up most often during the summer, when sweat and moisture breed yeast on your skin Pay your Bill Painful skin / joints Port St. Lucie Children's Vaccines Fluconazole 150 mg/wk po for 2 to 4 wk is indicated for patients with extensive disease and those with frequent recurrences. 3D Models Confluent and reticulated papillomatosis is characterized by net-like hyperpigmentation (darker color) of the central chest and mid back. Its cause is unknown but may be related in some cases to Malassezia colonization. Progressive macular hypomelanosis presents with hypopigmented (pale) macules and patches on the trunk and may very much resemble tinea versicolor. In this case, however, the KOH is negative and there is no response to systemic or topical antifungal medications. Pityriasis alba are pale oval areas that appear on the face and are related to eczema and other sensitive skin conditions. This is more likely to respond to topical steroid treatment than antifungal medications. It would be unlikely for vitiligo (loss of color) to first present on the back and shoulders, but it is possible. Powered By Decision Support in Medicine When to Contact a Medical Professional Grow together, forming patches of lighter (or darker) skin. Cold, Flu & Cough Other Hearst Subscriptions See additional information. Are often dark reddish to tan in color These Are the Most Obese States in America Mayo Clinic Voice Apps Vein Center Locations Menopause The navigation menu has been collapsed. Tinea versicolor - back "To help prevent the disease from returning, I ask my patients to use their anti-fungal shampoo or cream once or twice a month, especially in the warm months," says Daveluy. Recent changes 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. Does Sleeping Burn Calories? Symptom Checker Adult Skin Problems Slideshow 6 Reasons Your Butt Itches Like Crazy Craig G Burkhart, MD, MPH is a member of the following medical societies: Association of Military Dermatologists, American College of Aesthetic and Cosmetic Physicians; American Society of Aesthetic/Cosmetic Physicians, Michigan Dermatological Society, Academy of Medicine of Toledo and Lucas County, Ohio Dermatological Association, American Academy of Dermatology, Ohio State Medical Association, Phi Beta Kappa Signs and Symptoms of Tinea Versicolor Psoriasis PubReader GO Special Report America's Pain: The Opioid Epidemic Skin care Questions lots of kids ask about their skin, hair, and nails. Health Volunteers Overseas Grant Find a Doctor Clinical guides Watch educational videos & more! STUDENTSTORIES Previously featured Tinea versicolor is a common fungal skin infection affecting primarily healthy people caused by a fungus that is found on normal human skin. What Are Tinea Versicolor Treatments and Medications? Featured review Support Center Support Center Oral Care Association Health Plans Can Help Small Businesses Offer Coverage For Medical Professionals Uncontrolled Movements With Your Meds? Multimedia Stay Connected What Are the Signs & Symptoms of Pityriasis Versicolor? Living Well Patient and Visitor Guide Advertising Policies tinea versicolor | tinea versicolor head and shoulders tinea versicolor | tinea versicolor ketoconazole shampoo tinea versicolor | tinea versicolor natural cure
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