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Tinea Versicolor

Elisabeth L. Backer, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Rash due to a common superficial mycosis with a variety of colors and changing shades of color, predominantly present on trunk and proximal upper extremities; macules are usually hyp...

DIAGNOSIS

HISTORY

  • Asymptomatic scaling macules on trunk

  • Possible mild pruritus

  • More prominent in summer

  • Sun tanning accentuates lesions because infected areas do not tan.

  • Periodic recurrences common, espec...

TREATMENT

GENERAL MEASURES

  • Apply prescribed topical medications to affected skin with cotton balls.

  • Pigmentation may take months to fade or fill in.

  • Repeat treatment each spring prior to sun exposure; co...

ONGOING CARE

REFERENCES

1
Harada K, Saito M, Sugita T, et al. Malassezia species and their associated skin diseases. J Dermatol.  2015;42(3):250–257. [View Abstract on OvidMedline]
2
Hald M, Arendrup M, Svejgaar...

ADDITIONAL READING

  • Bhogal CS, Singal A, Baruah MC. Comparative efficacy of ketoconazole and fluconazole in the treatment of pityriasis versicolor: a one year follow-up study. J Dermatol.  2001;28...

CODES

ICD10

B36.0 Pityriasis versicolor 

ICD9

111.0 Pityriasis versicolor 

SNOMED

56454009 Pityriasis versicolor (disorder) 

CLINICAL PEARLS

  • Noncontagious macules of varying colors, with fine scale

  • Recurrence in summer months

  • More apparent after tanning. Skin areas with fungal infection do not tan; thus, hypopigmented areas b...

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