Geriatrics Facial Rejuvenation Medical Products Are There Home Remedies for Tinea Versicolor? read our blog Related: The 7 Most Common Causes Of Itchy Red Bumps for Educators Stop Infestations Visit WebMD on Pinterest Infectious Disease Hot, humid weather NIH MedlinePlus MagazineRead more Inside Mount Sinai Blog Check for Interactions Same-Day Appointments Wash and dry the affected skin. Tatnall FM, Rycroft RJ. Pityriasis versicolor with cutaneous atrophy induced by topical steroid application. Clin Exp Dermatol. 1985 May. 10 (3):258-61. [Medline]. Why Is My Skin Scaly? Links to PubMed Skin Injury General Dermatology Patient Representatives Offices Tinea versicolor is a condition characterized by a skin eruption on the trunk and proximal extremities.[1] The majority of tinea versicolor is caused by the fungus Malassezia globosa, although Malassezia furfur is responsible for a small number of cases.[2][3] These yeasts are normally found on the human skin and become troublesome only under certain circumstances, such as a warm and humid environment, although the exact conditions that cause initiation of the disease process are poorly understood.[2][4] Privacy policyAbout WikipediaDisclaimersContact WikipediaDevelopersCookie statementMobile view Research Urgent Care/Walk-In My account Jeff Kanski, MD Research Award Budget Template Editions First Trimester Although tinea versicolor can occur in immunosuppressed patients, most affected patients are healthy. Legislative Conference PARTNER MESSAGE Culture Non-greasy formula (label may read "oil-free" or "non-comedogenic"). Donate to Wikipedia U.S. Food and Drug Administration. Nizoral (ketoconazole) oral tablets: Drug Safety Communication - Prescribing for unapproved uses including skin and nail infections continues; linked to patient death. FDA Medwatch. May 19, 2016. Available at This page was last edited on 2 July 2018, at 15:18 (UTC). Advocacy priorities Eczema / dermatitis Our Sponsors Burkhart CG, Dvorak N, Stockard H. An unusual case of tinea versicolor in an immunosuppressed patient. Cutis. 1981. 27(1):56-8. [Medline]. Omeprazole Overview of Dermatophytoses (Pityriasis Versicolor) 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. Key Points Check for Interactions verify here. Treatment for tinea versicolor may include: First Aid & Safety Русский Cite this Page YouTube WebMD Medical Reference Reviewed by Stephanie S. Gardner, MD on January 15, 2018 Sign in Visit WebMD on Pinterest Commonly Searched Drugs 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. Sometimes oral antifungals As noted above, the white spots of tinea versicolor tends to linger even after successful treatment. This persistent discoloration often leads people to think that the condition is still present long after it has been eradicated. It may take months for skin color to blend and look normal, but it always does. The red or brown variety of rash, on the other hand, clears up much sooner. It is, therefore, a good idea to have the condition treated as soon as new spots appear so that any discoloration lasts as short a time as possible. Arcadia MedicineNet Pityriasis versicolor generally clears satisfactorily with treatment but often recurs when conditions are right for malassezia to proliferate. When the scaly component of pityriasis versicolor recurs, antifungal treatment should be repeated. Digestion Research Faculty PubMed Health Blog... Pediatric Dermatology SPOTme® Skin Cancer Screening Program Cancerous Tumors The yeasts can often be seen under the microscope within the lesions and typically have a so-called "spaghetti and meatball appearance"[11] as the round yeasts produce filaments. Claim CME 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. Tools Treatment options include: Gerry Emanuel, ARNP, DCNP like us on Patient Comments: Tinea Versicolor - Signs and Symptoms Therapy at Home? for Educators Expected results of diagnostic studies Icahn School of Medicine at Mount Sinai Tinea Versicolor Picture Manage Cookies Request an Appointment at Mayo Clinic Methods resources Dermnet Skin Disease Atlas Physician Directory Tanya Sperber, ARNP New York Eye and Ear Infirmary of Mount Sinai Causes Stefan Doig, MD AskMayoExpert. Superficial fungal infection. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. ENGLISH No matter what time of day or night a skin problem or skincare need should appear, please use this form to request an appointment. Special Subjects NCBI MASSACHUSETTS Pityriasis rosea Treatment usually eliminates the fungal infection. However, the discoloration of the skin may take up to several months to resolve. Drugs & Diseases Gaitanis G, Velegraki A, Alexopoulos EC, Chasapi V, Tsigonia A, Katsambas A. Distribution of Malassezia species in pityriasis versicolor and seborrhoeic dermatitis in Greece. Typing of the major pityriasis versicolor isolate M. globosa. Br J Dermatol. 2006 May. 154(5):854-9. [Medline]. HIT Marion B. Sulzberger Award and Lectureship COLORADO Newest Slideshows Oral antifungals including ketoconazole or fluconazole in a single dose, or ketoconazole for seven days, or itraconazole can be used.[17][18] The single-dose regimens, or pulse therapy regimens, can be made more effective by having the patient exercise 1–2 hours after the dose, to induce sweating. The sweat is allowed to evaporate, and showering is delayed for a day, leaving a film of the medication on the skin.[19] ADD/ADHD Sharon Barrineau, ARNP, DCNP WebMD Health Record Readers Comments 23 Medscape Consult Skin Problems & Treatments Guide Acknowledgements LinkedIn Medical Author: Gary W. Cole, MD, FAAD 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. More Student Stories Resident-Fellow QI Project Award Relax & Unwind Share on: FacebookTwitter Our Locations View More Locations Disappear when the temperature drops and return in the spring or summer when the air turns warm and humid. State Advocacy Grant Browse full issue index RESOURCES News HealthDay Urgent Care Belinda Girmonde, PA-C 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. Jeffrey John Meffert, MD Skin, hair, and nail care Using the Law to Protect Public Health Stay connected Jump up ^ Inamadar AC, Palit A (2003). "The genus Malassezia and human disease". Indian J Dermatol Venereol Leprol. 69 (4): 265–70. PMID 17642908. Gynecology and Obstetrics Other websites: Hot, humid weather Give Now Sign in to NCBI Is Pityriasis Versicolor Contagious? Diseases and treatments Truth in advertising Results September 6, 2018 LinkedIn Tinea versicolor facts Women's Health View Consumer VersionWritten in everyday language Learn more: What treatments are available for tinea versicolor? Pityriasis versicolor is usually diagnosed clinically. However, the following tests may be useful. Diagnosis confirmation You have oily skin Other websites: Duncan, WC, Tschen, JA, Knox, JM. "Terra firma-forme dermatosis". Arch Dermatol. vol. 123. 1987. pp. 567-9. Beware of Diabetes Foot Dangers 7 Psoriasis Triggers to Avoid 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]. Coding and reimbursement What is pityriasis versicolor? Characteristic findings on physical examination Wear breathable fabrics, such as cotton, to decrease sweating. SITE INFORMATION How Does Chemo Work? Related Articles Pulmonology Advisor selenium sulfide-topical Related Article Skin Infections sun fungus | tinea versicolor in babies sun fungus | tinea versicolor nizoral sun fungus | tinea versicolor treatment cream
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