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Living Healthy Patient advocates Language Selector Selenium sulfide (Selsun) 2.5 percent lotion or shampoo Reviews & Testimonials Tinea versicolor can usually be effectively treated using topical (externally applied) medications. These contain a substance that keeps the fungus from growing or kills it. Even with treatment, it can take several months for the skin to return to normal. Tinea versicolor is a skin condition that affects about 1% of the population in countries with a moderate climate. The main symptom is discolored (lighter or darker) patches of skin, mostly on the upper body. It is caused by a type of fungus that is found on most people’s skin. Tinea versicolor is not contagious.
Diagnosis[edit] About Medscape Privacy Policy Cookies Terms of Use Advertising Policy Help Center Levy JM, Magro C. Atrophying pityriasis versicolor as an idiosyncratic T cell-mediated response to Malassezia: A case series. J Am Acad Dermatol. 2016 Nov 2. [Medline].
The condition is most common in adolescents and young adults. It typically occurs in hot climates. It does not spread person to person. Create a book A variety of home remedies are recommended for tinea versicolor. These are, for the most part, the ones that are recommended for other skin diseases such as eczema and acne. Many home remedies have some mild antibiotic and antifungal properties that might help, but in many cases, they may cause problems of their own.
Subscribe Contact page Tinea versicolor is easily identified by examining skin scrapings under the microscope. WEderm Original Videos Page information What Is Cystic Fibrosis? What Causes It?
Weakened immune system This title designates a superficial fungal infection (tinea) that changes color (versicolor). See a picture of Tinea Versicolor and learn more about the health topic. Endocrinology Advisor
Compounding toolkit Tinea Versicolor Treatment & Management About NEJM Contents License Academy content, products, and services
Check Your Symptoms Schwartz RA. Superficial fungal infections. Lancet 2004; 364(9440): 1173-1182. miconazole
the use of oils or cosmetics that may close the skin pores.
That said, tinea versicolor is prone to spreading, so here’s how to stop it in its tracks John P. Cunha, DO, FACOEP
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Jump to navigationJump to search Medicine applied to the skin: This is the most common treatment. There are anti-fungal shampoos, soaps, creams, and lotions that can keep the yeast under control. The active ingredient in these medicines is often selenium sulfide, ketoconazole, or pyrithione zinc.
Phillips School of Nursing Featured content When I was around 14 years old, I started to notice white patches popping up on my neck. It was strange, but not a huge deal. They didn’t hurt, and they were only faintly visible. But then they started to spread down to my chest. And the tanner I got, the whiter they looked on my skin. Sometimes they would itch, but I was mostly annoyed with how they looked—and bathing suit season only made it worse. If I was around kids, they would point at the white patches and demand to know what was going on. And I had no idea how to explain it. To say the least, it was embarrassing. I found myself covering my chest as often as possible with big necklaces in the summer and scarves in the winter.
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Hematology/Oncology Your physician will typically diagnose tinea versicolor based on clinical exam and patient history; if needed, the ultraviolet black light (Wood’s light) may be supportive, revealing coppery-orange fluorescence. The diagnosis can be confirmed by potassium hydroxide (KOH) preparation, which demonstrates the classic “spaghetti and meatballs” of short, cigar butt hyphae and spores.
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Zika Virus Cold Sores Insurance Information Tinea versicolor is a common fungal infection of the skin that often affects adolescents and young adults. The term versicolor refers to the fact that it frequently alters the color of involved skin. The most common areas it affects are the shoulders, back, and chest. At times, it can affect folds of skin, such as the crook of the arm, the skin under the breasts, or the groin. The face is usually spared, although this is not always true for children. Careful examination of the affected areas will reveal a slight increase in superficial scale. The disease rarely produces any symptoms.
The following conditions are sometimes indistinguishable from tinea versicolor on simple inspection:
Medscape MedPulse News CME & Education Children’s Hospital of Pittsburgh: “Tinea Versicolor.” Specialties Levy JM, Magro C. Atrophying pityriasis versicolor as an idiosyncratic T cell-mediated response to Malassezia: A case series. J Am Acad Dermatol. 2016 Nov 2. [Medline].
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.
Tinea Versicolor – Similar Conditions Find a Doctor Request an Appointment MedicineNet Patches of skin discoloration, usually on the back, chest, neck and upper arms, which may appear lighter or darker than usual
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Rash Lifestyle Tips for Managing Tinea Versicolor Vitiligo: This condition results in a permanent loss of pigment. Vitiligo is more likely to affect the skin around the eyes and lips or the knuckles and joints. Spots are porcelain white and, unlike those of tinea versicolor, are permanent without therapy.
Patients – 3%-6% salicylic acid preparations, apply overnight for 1 to 2 weeks; usually effective but may be irritating
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(News) AHA-RC, Salicylic Acid, Lactic Acid Combo Beneficial for Acne Typically, treatment is initiated with one of the topical modalities. The antifungal creams or the shampoos are roughly equally effective and the choice may be based on patient preference. Longer durations of treatment correlate with higher cure rates.
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Advocacy priorities “Options include shampoos that contain selenium sulfide (Selsun Blue is a name brand), and anti-fungal creams or ointments containing miconazole, clotrimazole or terbinafine. The shampoo should be left on the skin for at least five minutes before rinsing. Men using the creams or ointments should apply a thin layer once or twice a day for at least 2 weeks,” says Dr. Daveluy.
Upload file When using a shampoo, leave it on your scalp for 5 or 10 minutes before rinsing.
During the summer months when the temperature and humidity are high, the yeast can increase. The excess yeast on the skin prevents the normal pigmentation process, so both light and dark colored spots can result.
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Skin Problems and Treatments Keloids Is Tinea Versicolor Contagious?
Print Tinea versicolor is more common in males than females. It is most common in the teens and 20s than in younger and older individuals. These risk factors likely have to do with age and hormonally related variations in the natural skin oils. There are quantitative and qualitative changes in natural skin oils with puberty that gradually subside with age. Some have noticed that the condition worsens in hot and humid environments and seasons, something seen with most yeast and fungal infections. Worldwide it is quite common in hot, humid environments and is rare in dry northern nations.
Stop using skin care products that are oily. Use products that are oil-free. The label may also read “non-comedogenic.” – 3%-6% salicylic acid preparations, apply overnight for 1 to 2 weeks; usually effective but may be irritating
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