Materiały źródłowe

• #1 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. Prophylaxis with topical selenium sulfide 2.5% or ketoconazole 2% shampoo applied to the entire body for ten minutes once per month is one such measure. Prophylactic doses of oral itraconazole 200 mg twice daily, once each month, are also employed. After 6 months of preventive treatment with itraconazole, a higher percentage of participants were symptom-free compared to placebo (88% vs. 57%). […] Treatment is usually topical with antifungal creams, lotions, or shampoos and may last from 1 day to 4 weeks, depending on the treatment suggested. Oral medications are available for more extensive infections or when topical treatments do not work. Tinea versicolor has a high recurrence rate, and many patients successfully prevent recurrence by using preventative treatment once a month for 6 months. The pigmentary changes that may have occurred due to the condition take longer to resolve than the actual infection. Most of the time, they resolve within 2 to 4 months of starting treatment.

• #1 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor/print

  Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor (eg, multiple recurrences per year), particularly during warm seasons. However, data on prophylactic therapy are limited. In our experience, prophylaxis with topical selenium sulfide 2.25% shampoo or ketoconazole 2% shampoo applied to the entire body for 10 minutes once per month has seemed beneficial. […] Oral antifungal prophylactic therapy is an alternative approach for patients in whom topical therapy is not effective or feasible. Oral itraconazole (at a dose of 200 mg twice daily given for one day per month) is a reasonable regimen for adults. In a six-month, randomized trial (n = 209), a greater percentage of patients were free of recurrent disease after prophylactic treatment with itraconazole (at a dose of 200 mg twice daily for one day per month) than with placebo (88 versus 57 percent, respectively).

• #1 Tinea versicolor: an updated review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9677953/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. […] Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Prophylactic administration of topical ketoconazole 2%, clotrimazole 1% or selenium sulfide 2.5% shampoo applied to the whole body for 10 minutes once a month may lead to decreased relapse rate of tinea versicolor. […] An alternative is to prophylactically administer an oral antifungal agent such as itraconazole, especially if topical antifungal prophylaxis is not successful. Oral itraconazole is easy to administer and less time-consuming and thereby has better compliance. The recommended dose of itraconazole for prophylaxis is 200 mg twice a day once per month.

• #2 Tinea versicolor: an updated review – Drugs in Context

  https://www.drugsincontext.com/tinea-versicolor-an-updated-review/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease.

• #2 Tinea versicolor: an updated review

  https://pmc.ncbi.nlm.nih.gov/articles/PMC9677953/

  Tinea versicolor is a common superficial fungal infection of the skin with various clinical manifestations. […] Long-term intermittent prophylactic therapy should be considered for patients with frequent recurrence of the disease. […] Prophylactic administration of topical ketoconazole 2%, clotrimazole 1% or selenium sulfide 2.5% shampoo applied to the whole body for 10 minutes once a month may lead to decreased relapse rate of tinea versicolor. […] An alternative is to prophylactically administer an oral antifungal agent such as itraconazole, especially if topical antifungal prophylaxis is not successful. Oral itraconazole is easy to administer and less time-consuming and thereby has better compliance. The recommended dose of itraconazole for prophylaxis is 200 mg twice a day once per month.

• #2 Tinea versicolor (pityriasis versicolor) – UpToDate

  https://www.uptodate.com/contents/tinea-versicolor-pityriasis-versicolor/print

  Prophylactic therapy is an option for patients who experience frequent recurrences of tinea versicolor (eg, multiple recurrences per year), particularly during warm seasons. However, data on prophylactic therapy are limited. In our experience, prophylaxis with topical selenium sulfide 2.25% shampoo or ketoconazole 2% shampoo applied to the entire body for 10 minutes once per month has seemed beneficial. […] Oral antifungal prophylactic therapy is an alternative approach for patients in whom topical therapy is not effective or feasible. Oral itraconazole (at a dose of 200 mg twice daily given for one day per month) is a reasonable regimen for adults. In a six-month, randomized trial (n = 209), a greater percentage of patients were free of recurrent disease after prophylactic treatment with itraconazole (at a dose of 200 mg twice daily for one day per month) than with placebo (88 versus 57 percent, respectively).

• #2 Tinea Versicolor – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK482500/

  Patients with recurrent tinea versicolor, particularly immunocompromised individuals, can prevent recurrences with topical or oral preventive therapy, especially during warm temperatures. Prophylaxis with topical selenium sulfide 2.5% or ketoconazole 2% shampoo applied to the entire body for ten minutes once per month is one such measure. Prophylactic doses of oral itraconazole 200 mg twice daily, once each month, are also employed. After 6 months of preventive treatment with itraconazole, a higher percentage of participants were symptom-free compared to placebo (88% vs. 57%). […] Treatment is usually topical with antifungal creams, lotions, or shampoos and may last from 1 day to 4 weeks, depending on the treatment suggested. Oral medications are available for more extensive infections or when topical treatments do not work. Tinea versicolor has a high recurrence rate, and many patients successfully prevent recurrence by using preventative treatment once a month for 6 months. The pigmentary changes that may have occurred due to the condition take longer to resolve than the actual infection. Most of the time, they resolve within 2 to 4 months of starting treatment.

• #3 Tinea Versicolor: Symptoms, Causes & Treatments

  https://my.clevelandclinic.org/health/diseases/17719-tinea-versicolor

  How can I prevent tinea versicolor? The yeast that causes this infection occurs naturally on your skin. Healthcare providers aren’t sure why some people develop tinea versicolor and others don’t. […] If you have a history of tinea versicolor, your healthcare provider may recommend you use soap containing zinc pyrithione (like Vanicream Z-Bar or DermaZinc Zinc Therapy Soap), ketoconazole (Nizoral) or selenium sulfide (Selsun Blue). This type of soap may help prevent future infections and yeast overgrowth. Your healthcare provider may also recommend using prescriptions medications during summer months when tinea versicolor is more likely to return. […] Some other things you can do to lower your risk for repeat tinea versicolor infections are: Avoid excessive sweating, exposure to sunlight and heat. Wear sunscreen or avoid sun exposure. Wear loose-fitting, cotton clothing to reduce sweating.

• #4 Tinea Versicolor (pityriasis versicolor) – Dermatology Advisor

  https://www.dermatologyadvisor.com/home/decision-support-in-medicine/dermatology/tinea-versicolor-pityriasis-versicolor/

  To minimize or prevent recurrences, patients should avoid application of topical oils and may apply ketoconazole shampoo 2% or selenium sulfide shampoo or lotion 2.5% to all susceptible areas for 10 minutes prior to bathing once a month. […] Ketoconazole 2% or selenium sulfide shampoo 2.5% for the scalp once or twice a week may lower the yeast load and decrease recurrence rates as well. […] Ketoconazole 400mg once a month may be used prophylactically if topical prophylaxis fails.

• #5 Pityriasis Versicolor (Tinea Versicolor): Causes, Symptoms, and Treatment

  https://patient.info/skin-conditions/pityriasis-versicolor-tinea-versicolor

  Some people who are prone to this condition need regular treatment to prevent the rash from coming back (recurring). […] If you are prone to develop recurrent episodes in the sun then it may be advisable to use ketoconazole shampoo once a day for three days prior to going on holiday to the sun. This will help to prevent recurrence when you are away. […] One option is to apply one of the above shampoos to your skin every 2-4 weeks. This may keep the germ away, or prevent the numbers building up, which will prevent the rash from recurring. Alternatively, if you have frequent recurrences then you may be advised to take antifungal tablets for one day each month as a preventative measure.

• #6 Tinea Versicolor Treatment & Management: Medical Care, Diet, Long-Term Monitoring

  https://emedicine.medscape.com/article/1091575-treatment

  Patients should be informed that tinea versicolor is caused by a fungus that is normally present on the skin surface and is therefore not considered contagious. The condition does not leave any permanent scar or pigmentary changes, and any skin color alterations resolve within 1-2 months after treatment has been initiated. Recurrence is common, and prophylactic therapy may help reduce the high rate of recurrence. […] Weekly application of any of the topical agents for the following few months may help prevent recurrence. […] Oral therapy does not prevent the high rate of recurrence, and treatment with an oral or topical agent may need to be repeated intermittently throughout the year. […] Also, a regimen of 1 tablet a month of fluconazole or itraconazole has been used successfully to prophylactically prevent recurrences. […] Tinea versicolor has a high rate of recurrence, and prophylactic treatment with topical or oral therapy on an intermittent basis is necessary to prevent recurrences in most cases.

• #7 Tinea Versicolor : Dermatology and Skin Surgery Center – North Carolina

  https://carolinahealthyskin.com/2019/03/tinea-versicolor/

  There are a number of treatment approaches and your provider will determine which will work best for your individual case. […] With any method, a strategy must be utilized to help limit recurrences which are quite common with this entity. Two methods can be employed. One involves once monthly application of Ketoconazole (Nizoral) 2% Shampoo. This can be applied from the neck to the thighs in the shower and left in place for 10 minutes before rinsing off OR it can be applied once monthly at bedtime and left on overnight (rinsing off in the AM). […] In some patients particularly prone to having multiple, recurrent episodes, oral Fluconazole (Diflucan) can be used TWICE A MONTH to help limit recurrences.

• #8 Tinea Versicolor | Loma Linda University Health

  https://lluh.org/conditions/tinea-versicolor

  What can I do to prevent tinea versicolor? This fungus can come back again after treatment. If you have recurrences, you may need to use shampoos or medicines. To help prevent the rash from returning, use medicated dandruff shampoo over your whole body when in the shower. Do this once a month for the next year. This is very important to do in the summertime. That is when the rash is most likely to come back. […] Also make sure to: Not use skin products that are oily. Stay out of hot, humid weather. Stay away from things that cause a lot of sweating. Wear loose clothing to let your skin stay cool and dry.

• #9 Tinea Versicolor: Good Hygienic Routines to Follow | Apollo Hospitals

  https://www.apollohospitals.com/diseases-and-conditions/tinea-versicolor-good-hygienic-routines-to-follow

  Since the yeast usually lives on the skin, the recurrence of the infection is common. You can consult a doctor on the medications to take to stop the disease from coming back. […] Here are a few tips you may follow to keep the infection under control: […] Avoid using skincare products that may make your skin oily. […] Try using an anti-dandruff shampoo that contains selenium sulfide. […] Avoid wearing tight clothes, as it may irritate the skin and aggravate the infection. […] Try to reduce the amount of time spent in the sun. You may get a tan or worsen the infection if you already have it. […] If you do have to step out in the sun, use an antifungal shampoo for a few days before you go out. […] Use sunscreen with a non-greasy formula that contains a minimum SPF 30. […] Wear breathable clothes to reduce sweating. […] While using ointments, creams, and lotions, clean the affected area thoroughly and pat dry with a clean cloth.

• #10 Tinea – symptoms, types & treatment | healthdirect

  https://www.healthdirect.gov.au/tinea

  Good personal hygiene can help prevent you from getting a tinea infection. Keeping your body clean will also stop the infection from spreading to other areas. […] There are several things you can do to avoid getting tinea: […] Tinea is contagious. It is important not to share towels, flannels, bathmats, treatment creams or shoes. […] Wear thongs when showering in a communal shower. […] After washing, dry your skin thoroughly. It is especially important to dry between your toes, in your groin and under your breasts. […] Use antiperspirants to help control sweating. […] As well as good hygiene, what you wear can also make a difference: […] Make sure your feet are completely dry before putting on socks, stockings or tights. […] Wear clothing made from natural fibres instead of synthetics. Natural fibres can help to reduce the amount of warm, moist skin areas.

• #11 Pediatric Tinea Versicolor Treatment & Management: Medical Care, Diet, Activity

  https://emedicine.medscape.com/article/911138-treatment

  Tinea versicolor has a high recurrence rate and may require frequent prophylactic treatment with intermittent topical or oral therapy. […] Good personal hygiene may help limit recurrences. Specifically, patients should shower as soon as possible after participating in activities or exercises that produce significant perspiration. […] Some authors recommend prophylaxis with varying regimens of selenium sulfide shampoo or lotion.

• #12

  https://www.menshealth.com/health/a20162005/tinea-versicolor-treatment-causes/

  Tinea versicolor is especially common in the summer months. This particular yeast is called Malassezia, and it usually lives on our skin without any issues. At certain times, though, it can overgrow, especially in hot and humid weather. […] There are a few things you can do to prevent tinea versicolor. For starters, wear loose-fitting clothing: tight clothes create a breeding ground for yeast, so stick to breathable fabrics, says Dr. Katta. You should also shower immediately after your workout to prevent a sticky, warm space for yeast to grow. […] Try to stay out of the sun, but if you must be out in the sun, use sunscreen. „Protect your skin from sunlight, since it makes tinea versicolor more noticeable,” says Daveluy. And always keep an anti-fungal shampoo or cream on hand. […] „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.

• #13 Reddit – The heart of the internet

  https://www.reddit.com/r/SkincareAddiction/comments/go87xn/psa_tinea_versicolor_actual_complete_solution/

  Step 1: You must shower a minimum of once per day, you can NEVER miss a day – Shower at the same time each day, and set aside 20 minutes for this required „ritual”. […] Step 6: Once you are done rinsing, dry yourself completely… COMPLETELY. (During weeks 1-4 you can NEVER reuse a towel– one towel per day. It hurts but its the truth, believe me… towels are vectors for reinfection). […] Complete this process for 8-10 weeks until you run out of the spray. I would recommend continuing to wash with these soap bars 4 weeks after the infection is gone. I will likely wash with these bars for 12 months as they are cheaper than the spray and therefore a cheaper maintenance solution.

• #14 Tinea Versicolor

  https://fpnotebook.com/Derm/Fungus/TnVrsclr.htm

  Hypopigmentation resolves slowly after treatment […] Recurrent infections (recurrence rate is high) […] Consider repeat treatment prior to summer […] Frequently worn clothing may harbor Fungus […] Consider discarding suspected clothing […] Consider boiling suspected clothing

• #15 Tinea versicolor: Tips for managing

  https://www.aad.org/public/diseases/a-z/tinea-versicolor-tips

  Stop using skin care products that are oily. Use products that are oil-free. The label may also read „non-comedogenic.” […] Wear loose clothes. Nothing should feel tight. […] Protect your skin from the sun. A tan makes tinea versicolor easier to see. […] Do not use a tanning bed or sun lamp. Again, a tan makes tinea versicolor easier to see. […] To get the best results, you need to protect your skin from the sun. To do this, you should apply sunscreen every day. Be sure to apply the sunscreen 20 minutes before you go outside. And apply it to all skin that will not be covered by clothing. Make sure to use a sunscreen that offers: […] UVA and UVB protection (label may say broad-spectrum) […] Sun Protection Factor (SPF) of 30 or higher […] Non-greasy formula (label may read „oil-free” or „non-comedogenic”).

• #16 Tinea Versicolor: Cause, Symptoms, and Treatments

  https://www.webmd.com/skin-problems-and-treatments/tinea-versicolor-cause-symptoms-treatments

  Tinea versicolor usually doesnt clear up on its own. Antifungal medications are most effective at healing your rashes and discolored areas of skin. […] If you live in a warm climate, there’s a higher chance your tinea versicolor may come back in the summer. You may need to regularly use medication to manage your symptoms or skin discoloration. […] Episodes of tinea versicolor are very common because the yeast that causes the infection is a normal fungus that lives on your skin. You might use medicated cleansers once a week for 10 minutes at a time for a few months to help prevent tinea versicolor from coming back. You may need to use these cleansers if the infection keeps returning, especially if you live in a warm and humid area. […] To help you manage tinea versicolor, you can: Avoid using oily skin products. Reduce the time you spend in the sun. It may trigger or worsen an episode, and a tan makes the rash more visible. Use an antifungal shampoo daily for a couple of days prior to sun exposure if you do have to go out. Put on sunscreen every day. Use a broad-spectrum, nongreasy formula with a minimum sun protection factor (SPF) of 30. Try a dandruff shampoo with selenium sulfide. Wear loose clothing. Choose breathable fabrics, such as cotton, to decrease sweating.

• #17 Tinea Versicolor | Skin Conditions | Macaione and Papa Dermatologists | South Jersey

  https://www.macaioneandpapadermatology.com/conditions/tinea-versicolor

  To prevent tinea versicolor, maintain good hygiene, avoid excessive heat and humidity, use antifungal shampoos if necessary, limit sun exposure, avoid oily skin care products, and choose breathable clothing. […] Recurrence is possible, especially in warm and humid environments. Dermatologists may recommend antifungal shampoos or other preventive measures to minimize the risk of recurrence. […] Sun exposure can worsen Tinea Versicolor. Dermatologists often advise avoiding prolonged sun exposure and may recommend specific sunscreens or protective measures to prevent exacerbation.

• #18 Tinea Versicolor – Harvard Health

  https://www.health.harvard.edu/diseases-and-conditions/tinea-versicolor-a-to-z

  Because the rash occurs more readily in hot, humid conditions, keep your skin as dry and cool as possible when you are in this climate. Tinea versicolor can be spread through skin-to-skin contact or by coming in contact with contaminated articles such as towels, clothing or bedding. […] The tinea versicolor rash continues to return in 40 percent to 60 percent of people. If you have had more than one episode of tinea versicolor, skin treatment every two weeks with a shampoo that destroys yeast (such as anti-dandruff shampoos that contain selenium sulfide) can help to prevent the rash from recurring. This may be especially helpful prior to travel to a tropical climate or during months with warm weather. Another option is to take antifungal medicines by mouth to prevent the rash from returning.

• #19 Tinea versicolor: Diagnosis and treatment

  https://www.aad.org/public/diseases/a-z/tinea-versicolor-treatment

  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. […] Medicated cleansers: Tinea versicolor often returns, especially when a person lives in a place that is warm and humid. Using a medicated cleanser once or twice a month, especially during warm and humid periods, can prevent the yeast from overgrowing again. […] 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.

• #20 Tinea versicolor // Middlesex Health

  https://middlesexhealth.org/learning-center/diseases-and-conditions/tinea-versicolor

  To help prevent tinea versicolor from returning, your doctor can prescribe a skin or oral treatment that you use once or twice a month. You may need to use these just during warm and humid months. Preventive treatments include: […] Selenium sulfide (Selsun) 2.5 percent lotion or shampoo […] Ketoconazole (Ketoconazole, Nizoral, others) cream, gel or shampoo […] Itraconazole (Onmel, Sporanox) tablets, capsules or oral solution […] Fluconazole (Diflucan) tablets or oral solution.

• #21 Tinea Versicolor – Superficial Mycoses – Mycoses – Infectious Diseases – Diseases – McMaster Textbook of Internal Medicine

  https://empendium.com/mcmtextbook/chapter/B31.II.18.98.5.2.

  Specific prevention regimens include topical application of azoles on previously affected sites daily, 2 weeks before expected sun exposure; antifungal shampoo application twice weekly; and oral itraconazole 200 mg twice daily, one day per month for 6 months. […] Good personal hygiene.

• #22 Tinea versicolor – Diagnosis & treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/diagnosis-treatment/drc-20378390

  Even after successful treatment, your skin color may remain uneven for several weeks, or even months. […] In persistent cases, you may need to take a medication once or twice a month to prevent the infection from recurring. […] It also helps to protect your skin from the sun and artificial sources of UV light.

• #23 Pityriasis versicolor / Tinea versicolor

  https://www.hse.ie/eng/services/list/2/gp/antibiotic-prescribing/conditions-and-treatments/skin-soft-tissue/pityriasis-versicolor-tinea-versicolor/

  Pityriasis versicolor responds well to medical therapy, but recurrence is common and prophylactic therapy sometimes may be necessary. […] After treatment, skin might not go back to its normal colour for several months. This does not mean the treatment didn’t work. It just takes time for the skin to heal.

• #24

  https://myhealth.alberta.ca/Health/pages/conditions.aspx?hwid=hw166595

  If you have frequent problems with tinea versicolor, there are a couple of things you can do so that it is less likely to come back. […] Use antifungal skin creams, shampoos, or solutions at least once a month. Ask your doctor if you should use them more often. […] Talk to your doctor about taking antifungal pills once a month. Most people don’t need to do this, but it can help in some cases.

• #25 Antifungal Treatment for Pityriasis Versicolor

  https://www.mdpi.com/2309-608X/1/1/13

  Pityriasis versicolor (PV), also known as tinea versicolor, is caused by Malassezia species. This condition is one of the most common superficial fungal infections worldwide, particularly in tropical climates. PV is difficult to cure and the chances for relapse or recurrent infections are high due to the presence of Malassezia in the normal skin flora. […] Maintenance, or prophylactic, therapy may be useful in preventing recurrent infection; however, at this time, there is limited research evaluating the efficacy of prophylactic antifungal treatment. […] Preventing recurrence of infections is important going forward. […] Prophylactic treatment may be necessary to alleviate symptoms, especially in more severe cases. Limited research into the effectiveness of antifungal prophylactic treatment has been conducted. Evidence suggests that monthly itraconazole and selenium sulphide may reduce relapse.

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