Materiały źródłowe

• #1 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Pityriasis versicolor, or tinea versicolor, is a common, benign, superficial fungal skin infection. The diagnosis of pityriasis versicolor is typically clinical. Medical treatment is effective for tinea versicolor; however, the condition often returns, so preventive medicine may be essential over a more extended period. This topic discusses the etiology, diagnosis, and management of tinea versicolor. […] Topical medications are the first-line therapy for tinea versicolor. Ketoconazole, 2% shampoo, is highly effective. The shampoo is applied to the affected areas for five minutes before being rinsed. Typically, healthcare professionals use ketoconazole over 1 to 3 days. Oral therapy is reserved for patients with tinea versicolor resistant to topical treatment or with widespread disease that makes topical drug application problematic.

• #2

  https://step2.medbullets.com/dermatology/120056/tinea-versicolor

  Clinical definition very common cutaneous fungal infection characterized variably colored macules and patches also known as pityriasis versicolor. […] Symptoms asymptomatic inability to tan in affected areas. […] Physical exam macules and patches affecting the trunk, neck, and face lesions have overlying fine scaling variable color pale yellow white hypopigmentation hyperpigmentation yellowish brown. […] Medical topical treatment indications avoid systemic effects of oral medications first-line therapy drugs zinc pyrithione 1% shampoo selenium sulfide 2.5% shampoo often also used for prophylaxis ketoconazole shampoo sulfur salicylic acid shampoo azole creams. […] Oral antifungals indication if disease is widespread or refractory to topical treatment drugs itraconazole fluconazole. […] Complications Areas of discoloration may be permanent. […] Prognosis Often recurs.

• #3 Tinea versicolor – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/symptoms-causes/syc-20378385

  Tinea versicolor is a common fungal infection of the skin. The fungus interferes with the normal pigmentation of the skin, resulting in small, discolored patches. These patches may be lighter or darker in color than the surrounding skin and most commonly affect the trunk and shoulders. […] Antifungal creams, lotions or shampoos can help treat tinea versicolor. But even after successful treatment, skin color may remain uneven for several weeks or months. Tinea versicolor often recurs, especially in warm, humid weather. […] 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.

• #4 Tinea versicolor – Symptoms & causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/tinea-versicolor/symptoms-causes/syc-20378385

  Tinea versicolor is a common fungal infection of the skin. The fungus interferes with the normal pigmentation of the skin, resulting in small, discolored patches. These patches may be lighter or darker in color than the surrounding skin and most commonly affect the trunk and shoulders. […] Antifungal creams, lotions or shampoos can help treat tinea versicolor. But even after successful treatment, skin color may remain uneven for several weeks or months. Tinea versicolor often recurs, especially in warm, humid weather. […] 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.

• #5 Tinea Versicolor Treatment, Causes, Pictures, Remedies & Symptoms

  https://www.emedicinehealth.com/tinea_versicolor/article_em.htm

  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. […] Discolored patches of skin are the hallmark of tinea versicolor. Versicolor means color variations, and characteristically it will appear dark or red on light skin, and light on dark skin. On the same patient, the appearance may vary over the course of the year depending upon whether the skin is winter pale or summer tanned. On the same patient, the appearance may vary with body location, being pink/brown on the mid back and pale on a tanned neck. […] The rash is usually confined to shoulders, mid-back, and chest, but occasionally it will extend further down the arms. Facial involvement is only occasionally seen, usually in African-Americans and other darker-skinned patients.

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

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

  Your doctor can diagnose tinea versicolor by looking at it. If there’s any doubt, he or she may take skin scrapings from the infected area and view them under a microscope. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] It also helps to protect your skin from the sun and artificial sources of UV light. Usually, the skin tone evens out eventually.

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

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

  Your doctor can diagnose tinea versicolor by looking at it. If there’s any doubt, he or she may take skin scrapings from the infected area and view them under a microscope. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] It also helps to protect your skin from the sun and artificial sources of UV light. Usually, the skin tone evens out eventually.

• #8 Pityriasis versicolor. Tinea versicolor

  https://dermnetnz.org/topics/pityriasis-versicolor

  Pityriasis versicolor is a common yeast infection of the skin, in which flaky discoloured patches appear on the chest and back. […] Pityriasis versicolor is usually diagnosed clinically. The following tests may be useful. […] Mild pityriasis versicolor is treated with topical antifungal agents. […] Oral antifungal agents, itraconazole and fluconazole, are used to treat pityriasis versicolor when extensive or if topical agents have failed. […] Reapplication of a topical treatment such as selenium sulfide shampoo every month once the rash has cleared will usually prevent recurrence. […] Pityriasis versicolor generally clears satisfactorily with treatment but often recurs when conditions are right for malassezia to proliferate.

• #9 Tinea Versicolor: Symptoms and Treatment | Advanced Dermatology of North Central Ohio

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

  Tinea versicolor, also known as pityriasis versicolor, is a common fungal infection of the skin. […] The dermatologists at Advanced Dermatology of North Central Ohio treat Tinea Versicolor with specialized creams, shampoos, or pills that kill the fungus. […] Following your dermatologist’s advice for the best results will lead you to accomplishing your healthy skin goals. […] Dermatologists often diagnose Tinea Versicolor by examining the affected skin and may use a Wood’s lamp for better visibility. […] Recurrence is possible, especially in warm and humid environments. Dermatologists may recommend antifungal shampoos or other preventive measures to minimize the risk of recurrence. […] Yes, Tinea Versicolor can affect facial skin. Dermatologists may recommend specialized treatments for the face, such as antifungal creams or washes designed for sensitive areas.

• #10 Tinea Versicolor Treatment, Causes, Pictures, Remedies & Symptoms

  https://www.emedicinehealth.com/tinea_versicolor/article_em.htm

  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. […] Any specialist, including all primary-care providers (family practitioners, pediatricians, and internists), can competently treat tinea versicolor. Atypical cases and those not responding to usual therapy should be referred to dermatologist (a specialist in skin disorders and conditions) to consider alternative therapies and diagnoses. […] 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).

• #11 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] General principles […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

• #12 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] General principles […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

• #13 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] General principles […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

• #14 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] Most patients are asymptomatic; occasional patients report mild pruritus. In our experience, the appearance of skin lesions is often the primary concern. […] General principles: Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

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

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

  Your doctor can diagnose tinea versicolor by looking at it. If there’s any doubt, he or she may take skin scrapings from the infected area and view them under a microscope. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] It also helps to protect your skin from the sun and artificial sources of UV light. Usually, the skin tone evens out eventually.

• #16 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. […] Tinea versicolor can be successfully treated with various agents. First-line treatment includes topical agents include selenium sulfide, zinc-pyrithione, sodium sulfacetamide, ciclopirox olamine, tacrolimus, as well as azole and allylamine antifungals. […] Various regimens can be used. Selenium sulfide lotion is liberally applied to affected areas of the skin daily for 2 weeks; each application is allowed to remain on the skin for at least 10 minutes prior to being washed off. In resistant cases, overnight application can be helpful. Topical azole antifungals can be applied every night for 2 weeks. Weekly application of any of the topical agents for the following few months may help prevent recurrence.

• #17 Pityriasis Versicolor: Symptoms and Treatment | Doctor

  https://patient.info/doctor/pityriasis-versicolor-pro

  Pityriasis versicolor should be treated initially with topical antifungals, especially topical imidazoles – eg, clotrimazole, miconazole, econazole and ketoconazole in various formulations (creams or shampoos). […] Ketoconazole shampoo is usually first-line and should be applied on to affected areas and made into a lather; it should then be left for five to fifteen minutes before washing off. This should be repeated daily for a week and then weekly for a month. […] Selenium shampoo can be used as an alternative although unlicensed for this indication. It should be diluted with water (to reduce the likelihood of irritation), applied to affected areas for ten minutes and then rinsed off. This should be repeated daily for seven to ten days. This is contra-indicated in pregnancy. […] If very small areas are involved, or in pregnancy, antifungal imidazole creams such as clotrimazole may be used as an alternative. The cream should be applied twice a day for two to three weeks.

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

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

  Your doctor can diagnose tinea versicolor by looking at it. If there’s any doubt, he or she may take skin scrapings from the infected area and view them under a microscope. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] It also helps to protect your skin from the sun and artificial sources of UV light. Usually, the skin tone evens out eventually.

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

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

  Your doctor can diagnose tinea versicolor by looking at it. If there’s any doubt, he or she may take skin scrapings from the infected area and view them under a microscope. […] If tinea versicolor is severe or doesn’t respond to over-the-counter antifungal medicine, you may need a prescription-strength medication. Some of these medications are topical preparations that you rub on your skin. Others are drugs that you swallow. […] For a mild case of tinea versicolor, you can apply an over-the-counter antifungal lotion, cream, ointment or shampoo. Most fungal infections respond well to these topical agents, which include: […] When using creams, ointments or lotions, wash and dry the affected area. Then apply a thin layer of the product once or twice a day for at least two weeks. If you’re using shampoo, rinse it off after waiting five to 10 minutes. If you don’t see an improvement after four weeks, see your doctor. You may need a stronger medication. […] It also helps to protect your skin from the sun and artificial sources of UV light. Usually, the skin tone evens out eventually.

• #20 Tinea Versicolor Condition, Treatments and Pictures for Adults – Skinsight

  https://skinsight.com/skin-conditions/tinea-versicolor/

  Tinea versicolor can develop in people starting in adolescence through adulthood. It can affect people of any race or sex. […] Tinea versicolor most commonly affects people living in tropical areas with high humidity and high temperatures. In milder climates, teens and young adults are affected most frequently. Tinea versicolor is uncommon in young children or in adults older than 65. […] If you suspect you have tinea versicolor, you can try an over-the-counter antifungal cream such as clotrimazole (Lotrimin) or miconazole (Monistat). Over-the-counter shampoos such as those containing selenium sulfide (Selsun Blue), ketoconazole (Nizoral), or zinc pyrithione (Head Shoulders) can be applied as a body wash to the affected areas in the shower and then rinsed off well. However, if the condition does not seem to be getting better after 2 weeks of daily treatment, see a dermatologist or another medical professional for evaluation.

• #21 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] General principles […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

• #22 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] Most patients are asymptomatic; occasional patients report mild pruritus. In our experience, the appearance of skin lesions is often the primary concern. […] General principles: Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

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

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

  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. Because tinea versicolor is a benign condition and oral therapy is not without risk, the decision to treat with an oral agent should be made only after a complete discussion of the risks involved. […] 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.

• #24 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 (also known as tinea versicolor) is a fungal infection of the skin caused by Malassezia yeasts. […] 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. […] Take skin scrapings for culture if not localised. […] Skin sampling instruction: Swabs are of little value, unless there is insufficient material obtained by scraping. […] Samples should be collected into folded dark paper squares. Secure dark paper squares with a paper clip and place in a plastic bag, or use commercially available fungal packets. […] Pityriasis versicolor: 1st choice options: Ketoconazole 2% shampoo, Once every 24 hours, 1-5 days, Leave preparation on for 35 minutes before rinsing.

• #25 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/

  Selenium sulphide shampoo (Selsun), Once every 24 hours, 7 days, Apply to the affected area and leave on for 10 minutes before rinsing off. […] Clotrimazole 1% cream, Every 8 to 12 hours, 7-14 days, For smaller areas. […] Terbinafine 1% cream, Every 12 to 24 hours, 14 days, For smaller areas. Not licensed for use in children. […] Oral therapy is reserved for patients with disease refractory to topical therapy or widespread disease that makes the application of topical therapy difficult. […] Fluconazole (for extensive disease), 300mg once weekly, 1-3 weeks, Use with caution in patients with hepatic dysfunction. […] Avoid fluconazole (and all oral azoles) in pregnancy. […] Itraconazole (for resistant disease or second line treatment), 200mg every 24 hours, 7 days, Capsules should be taken immediately after a meal for maximal absorption. […] Women of childbearing potential taking itraconazole should use contraceptive precautions. Effective contraception should be continued until the menstrual period following the end of itraconazole therapy.

• #26 Tinea Versicolor: Symptoms, Causes & Treatments

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

  Healthcare providers treat the condition with topical or oral antifungal medications. […] With treatment, most people recover fully from tinea versicolor. […] Tinea versicolor can be a nuisance, but its generally easy to treat. Tinea versicolor is treated with topical creams, lotions or shampoos applied to the skin. […] Proper treatment with antifungal medication is necessary to ensure a complete recovery and prevent recurrences. […] Mild cases of tinea versicolor respond well to antifungal creams, lotions or shampoos you can purchase at the drugstore. […] Youll apply these to your skin from anywhere to a few minutes to several hours before rinsing it off. […] If your symptoms are severe, your healthcare provider may also prescribe oral antifungals such as: Fluconazole (Diflucan).

• #27 Pityriasis Versicolor: Symptoms and Treatment | Doctor

  https://patient.info/doctor/pityriasis-versicolor-pro

  In widespread or resistant cases, prescribe itraconazole 200 mg daily for seven days (although terbinafine is active against dermatophytes (eg, tinea), it actually has little effect on yeast infections). Alternatively, fluconazole may be used – 50 mg daily for two to four weeks, or 300-400 mg weekly for one to three weeks. […] Oral treatments should be avoided with a history of heart failure or liver failure. There is a risk of acute liver failure with use of oral antifungal treatments. Oral treatments should not be used if pregnant or breastfeeding. […] Patients should be advised that it can take several months for the skin colour to return to normal. […] Antifungal treatment should be repeated when the scaly component of pityriasis versicolor recurs. […] Recurrences of pityriasis versicolor are common.

• #28 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/

  Selenium sulphide shampoo (Selsun), Once every 24 hours, 7 days, Apply to the affected area and leave on for 10 minutes before rinsing off. […] Clotrimazole 1% cream, Every 8 to 12 hours, 7-14 days, For smaller areas. […] Terbinafine 1% cream, Every 12 to 24 hours, 14 days, For smaller areas. Not licensed for use in children. […] Oral therapy is reserved for patients with disease refractory to topical therapy or widespread disease that makes the application of topical therapy difficult. […] Fluconazole (for extensive disease), 300mg once weekly, 1-3 weeks, Use with caution in patients with hepatic dysfunction. […] Avoid fluconazole (and all oral azoles) in pregnancy. […] Itraconazole (for resistant disease or second line treatment), 200mg every 24 hours, 7 days, Capsules should be taken immediately after a meal for maximal absorption. […] Women of childbearing potential taking itraconazole should use contraceptive precautions. Effective contraception should be continued until the menstrual period following the end of itraconazole therapy.

• #29 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Prior to treatment, inform patients that the causative agent of tinea versicolor is a commensal fungal inhabitant of the normal skin flora, and the disease is not contagious. Also, pigmentary alterations frequently persist following successful treatment. Restoration of normal pigmentation may take months following treatment. […] 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. […] Pityriasis versicolor is a benign but commonly recurrent superficial fungal infection of the skin. Therefore, patients need effective follow-up care to implement a relapse prevention strategy. Effective communication within the patient’s healthcare team is necessary to ensure all clinicians know the treatment to avoid any possible medication interactions if oral therapy is elected. Proper patient education by the healthcare team can decrease patient anxiety regarding transmission, permanent skin color changes, and recurrence to provide the best patient outcome.

• #30 Pityriasis versicolor – Symptoms, diagnosis and treatment | BMJ Best Practice US

  https://bestpractice.bmj.com/topics/en-us/861

  Pityriasis versicolor is a superficial fungal infection of the stratum corneum, due to dimorphic yeasts of the genus Malassezia, leading to hypo- or hyperpigmented macular lesions on seborrheic areas of the trunk. […] Easily treated with either topical medications, including zinc pyrithione shampoo, selenium sulfide shampoo, or azole-class topical antifungal creams. More extensive disease may require systemic therapy with antifungal drugs. […] After successful treatment, remind patients that it may take up to 6 weeks before their normal skin pigmentation returns. […] Recurrence of the disease is common, and prophylactic treatment with selenium shampoo and, for more extensive disease, systemic therapy with antifungal drugs may be necessary.

• #31 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Prior to treatment, inform patients that the causative agent of tinea versicolor is a commensal fungal inhabitant of the normal skin flora, and the disease is not contagious. Also, pigmentary alterations frequently persist following successful treatment. Restoration of normal pigmentation may take months following treatment. […] 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. […] Pityriasis versicolor is a benign but commonly recurrent superficial fungal infection of the skin. Therefore, patients need effective follow-up care to implement a relapse prevention strategy. Effective communication within the patient’s healthcare team is necessary to ensure all clinicians know the treatment to avoid any possible medication interactions if oral therapy is elected. Proper patient education by the healthcare team can decrease patient anxiety regarding transmission, permanent skin color changes, and recurrence to provide the best patient outcome.

• #32 Tinea Versicolor: Symptoms and Treatment | Bikowski Skin Care

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

  Yes, Tinea Versicolor can affect facial skin. […] Dermatologists may recommend specialized treatments for the face, such as antifungal creams or washes designed for sensitive areas. […] Sun exposure can worsen Tinea Versicolor. […] Dermatologists often advise avoiding prolonged sun exposure and may recommend specific sunscreens or protective measures to prevent exacerbation. […] If tinea versicolor is diagnosed, dermatologists may prescribe oral antifungal medications. […] It’s essential to follow the prescribed treatment regimen consistently to ensure effective resolution of the infection. […] Scheduling a skin check is recommended to create your custom treatment plan.

• #33 Tinea Versicolor Condition, Treatments and Pictures for Adults – Skinsight

  https://skinsight.com/skin-conditions/tinea-versicolor/

  If you have been treated for tinea versicolor, avoid wearing tight-fitting clothing. Also, sun exposure may make the remaining light-colored areas more apparent, so avoid sun exposure or wear sunscreen until the spots have returned to their normal color. […] Once a diagnosis of tinea versicolor has been confirmed, the medical professional may recommend one of the following treatments: Over-the-counter selenium sulfide, ketoconazole, or zinc pyrithione shampoo, if these have not yet been tried; Prescription-strength ketoconazole shampoo; Antifungal cream such as ketoconazole (Extina, Ketozole), econazole (Ecoza), or ciclopirox (Loprox); Antifungal pills such as fluconazole (Diflucan) or itraconazole (Sporanox). […] Recurrence of the infection after treatment is common. Your medical professional may recommend a preventive or maintenance treatment to use during the warmer, more humid months, such as an antifungal cream or shampoo applied every week. […] If these self-care measures do not work or if your rash is spreading, see your medical professional.

• #34 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. […] Tinea versicolor tends to be associated with recurrences that must be properly treated.

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

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

  Some people seem prone to this yeast-like germ multiplying on their skin and the rash may come back (recur) after treatment. 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.

• #36 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. […] Tinea versicolor tends to be associated with recurrences that must be properly treated.

• #37 Tinea Versicolor | Nationwide Children’s Hospital

  https://www.nationwidechildrens.org/conditions/tinea-versicolor

  The rash can come back, especially when its warm and humid outside. […] Sometimes, people need to treat their rash a few times a year. […] To keep the skin cool and dry, have your child: Wear loose-fitting, dry cotton clothes. Change clothes if they become damp. […] Shower after activities that make them sweat. Use warm, not hot, water. […] Thoroughly rinse the soap off, dry the skin well, and use a clean towel each time. […] Call your childs doctor or health care provider if the rash gets worse, even with treatment.

• #38 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] General principles […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

• #39 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  Tinea versicolor (ie, pityriasis versicolor) is a common superficial fungal infection that typically presents with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities. Tinea versicolor typically responds well to therapy, but recurrence is common and long-term prophylactic therapy may be necessary. […] General principles […] Topical therapy is the treatment of choice. Oral therapy is generally reserved for scenarios in which adequate application of topical therapy is not feasible and for refractory or recurrent disease. […] Important patient education concepts include the cause and expected course of tinea versicolor. We inform patients that tinea versicolor is not due to poor hygiene, that it is not contagious, that it usually responds well to treatment, and that recurrence is common.

• #40 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. […] Tinea versicolor can be successfully treated with various agents. First-line treatment includes topical agents include selenium sulfide, zinc-pyrithione, sodium sulfacetamide, ciclopirox olamine, tacrolimus, as well as azole and allylamine antifungals. […] Various regimens can be used. Selenium sulfide lotion is liberally applied to affected areas of the skin daily for 2 weeks; each application is allowed to remain on the skin for at least 10 minutes prior to being washed off. In resistant cases, overnight application can be helpful. Topical azole antifungals can be applied every night for 2 weeks. Weekly application of any of the topical agents for the following few months may help prevent recurrence.

• #41 Tinea Versicolor Treatment, Causes, Pictures, Remedies & Symptoms

  https://www.emedicinehealth.com/tinea_versicolor/article_em.htm

  Tinea versicolor is a fungal infection that causes discolored patches of skin. Tinea versicolor is a common fungal infection of the skin in adolescents and young adults and leads to discolored patches of skin, usually pale (hypopigmented) spots on the upper back and shoulders. It is caused by a yeast (Malassezia furfur), which produces a substance that suppresses color production in the skin, leading to the pale spots. On lighter skin, it may appear pink or light brown in color. […] Pityriasis versicolor is an alternative name for tinea versicolor (TV) and one preferred by some specialists because tinea technically refers to non-yeast, dermatophyte fungal infections, the type of fungus that affects the body (tinea corporis, commonly known as ringworm), feet (tinea pedis, also called athlete’s foot), or groin (tinea cruris, referred to as jock itch). Since the cause of tinea versicolor is a yeast rather than a true dermatophyte fungus, the term pityriasis versicolor (spots of different colors) is technically more accurate. Though technically imprecise „tinea versicolor” is much more widely used.

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

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

  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. Because tinea versicolor is a benign condition and oral therapy is not without risk, the decision to treat with an oral agent should be made only after a complete discussion of the risks involved. […] 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.

• #43 Tinea Versicolor (Pityriasis Versicolor)

  https://healthlibrary.brighamandwomens.org/coronavirus/85,P00320

  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. […] Call your healthcare provider if you have: Symptoms that dont get better, or get worse […] The most common symptom is patches on the skin that may look white, pink, or light brown. The patches may also look dry or scaly. […] The rash is usually on the neck, upper back, chest, and shoulders. It is not spread from person to person. […] Talk with your healthcare providers about the risks, benefits, and possible side effects of all medicines.

• #44 Tinea Versicolor: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.tinea-versicolor-care-instructions.zc1659

  Tinea versicolor is a skin infection. It causes many small spots, usually on the parts of the upper body like the chest and neck. The spots may form patches that have fine scales. The spots and patches may be lighter or darker than the skin around them. […] You can treat tinea versicolor with cream, ointment, or shampoo. You may need pills if the spots cover a lot of your body. Treatment kills the fungus quickly. Your skin, though, may not return to its normal color for months after treatment. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Follow the directions for use of creams, shampoos, or solutions. You will probably need to use them for 1 to 2 weeks. If your skin gets irritated, stop using the product, and call your doctor. […] If the rash keeps coming back, you may want to use a cream, shampoo, or solution one time a month. Your doctor may prescribe pills to prevent the spots from returning. […] Watch closely for changes in your health, and be sure to contact your doctor if your rash gets worse.

• #45 Tinea versicolor (pityriasis versicolor) – UpToDate

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

  For most patients with tinea versicolor, we suggest treatment with a topical azole antifungal drug, topical terbinafine, or topical selenium sulfide, rather than other therapies. […] For patients who experience multiple recurrences per year and who desire prophylaxis, we suggest topical rather than oral prophylactic therapy.

• #46 Tinea Versicolor: Symptoms and Treatment | Advanced Dermatology of North Central Ohio

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

  Sun exposure can worsen Tinea Versicolor. Dermatologists often advise avoiding prolonged sun exposure and may recommend specific sunscreens or protective measures to prevent exacerbation. […] If tinea versicolor is diagnosed, dermatologists may prescribe oral antifungal medications. It’s essential to follow the prescribed treatment regimen consistently to ensure effective resolution of the infection.

• #47 Tinea Versicolor: Symptoms and Treatment | Advanced Dermatology of North Central Ohio

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

  Sun exposure can worsen Tinea Versicolor. Dermatologists often advise avoiding prolonged sun exposure and may recommend specific sunscreens or protective measures to prevent exacerbation. […] If tinea versicolor is diagnosed, dermatologists may prescribe oral antifungal medications. It’s essential to follow the prescribed treatment regimen consistently to ensure effective resolution of the infection.

• #48 Tinea Versicolor Treatment, Causes, Pictures, Remedies & Symptoms

  https://www.emedicinehealth.com/tinea_versicolor/article_em.htm

  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. […] Discolored patches of skin are the hallmark of tinea versicolor. Versicolor means color variations, and characteristically it will appear dark or red on light skin, and light on dark skin. On the same patient, the appearance may vary over the course of the year depending upon whether the skin is winter pale or summer tanned. On the same patient, the appearance may vary with body location, being pink/brown on the mid back and pale on a tanned neck. […] The rash is usually confined to shoulders, mid-back, and chest, but occasionally it will extend further down the arms. Facial involvement is only occasionally seen, usually in African-Americans and other darker-skinned patients.

• #49 Tinea Versicolor Treatment, Causes, Pictures, Remedies & Symptoms

  https://www.emedicinehealth.com/tinea_versicolor/article_em.htm

  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. […] Any specialist, including all primary-care providers (family practitioners, pediatricians, and internists), can competently treat tinea versicolor. Atypical cases and those not responding to usual therapy should be referred to dermatologist (a specialist in skin disorders and conditions) to consider alternative therapies and diagnoses. […] 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).

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

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

  Tinea versicolor (pityriasis versicolor) can be treated with various agents, and skin color alterations usually resolve within a few months of treatment. It does not leave any permanent scars or pigment changes. […] Topical therapy alone is indicated for most patients. Systemic treatment is indicated for extensive involvement, for recurrent infections, or when topical therapy has failed. Because treatment is relatively easy and recurrence is common, therapy must be as safe, inexpensive, and convenient as possible. A plan for prophylactic therapy should be discussed with all patients to reduce the high recurrence rate. […] Various regimens involve both topical and oral therapies. The most common approach consists of varying regimens of selenium sulfide lotion, topical zinc pyrithione, topical benzoyl peroxide, and topical therapy with imidazoles. Oral imidazole therapy is used in adults but less commonly in children.

• #51 Tinea Versicolor in Children

  https://www.nationwidechildrens.org/conditions/health-library/tinea-versicolor-in-children

  Tinea versicolor is a fungal skin infection. Its caused by yeast on the skin. It occurs most often in teens and young adults. But it can happen at any age. […] Often, the only symptom of this condition is white, pink, or light brown patches on your childs skin. […] Your childs healthcare provider may advise using a shampoo that contains selenium sulfide. […] If this treatment doesnt work, call your child’s healthcare provider to talk about other treatments.

• #52 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Prior to treatment, inform patients that the causative agent of tinea versicolor is a commensal fungal inhabitant of the normal skin flora, and the disease is not contagious. Also, pigmentary alterations frequently persist following successful treatment. Restoration of normal pigmentation may take months following treatment. […] 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. […] Pityriasis versicolor is a benign but commonly recurrent superficial fungal infection of the skin. Therefore, patients need effective follow-up care to implement a relapse prevention strategy. Effective communication within the patient’s healthcare team is necessary to ensure all clinicians know the treatment to avoid any possible medication interactions if oral therapy is elected. Proper patient education by the healthcare team can decrease patient anxiety regarding transmission, permanent skin color changes, and recurrence to provide the best patient outcome.

• #53 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Prior to treatment, inform patients that the causative agent of tinea versicolor is a commensal fungal inhabitant of the normal skin flora, and the disease is not contagious. Also, pigmentary alterations frequently persist following successful treatment. Restoration of normal pigmentation may take months following treatment. […] 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. […] Pityriasis versicolor is a benign but commonly recurrent superficial fungal infection of the skin. Therefore, patients need effective follow-up care to implement a relapse prevention strategy. Effective communication within the patient’s healthcare team is necessary to ensure all clinicians know the treatment to avoid any possible medication interactions if oral therapy is elected. Proper patient education by the healthcare team can decrease patient anxiety regarding transmission, permanent skin color changes, and recurrence to provide the best patient outcome.

• #54 Tinea versicolor: Symptoms, causes, and treatment

  https://www.medicalnewstoday.com/articles/315779

  The most typical treatment options include: Creams and lotions containing selenium sulfide, ketoconazole, or pyrithione zinc, Medicated shampoos and body washes for use during times when flares are expected, such as during periods of very hot, humid weather, Oral antifungal medication for use when large areas of the body are infected. […] It is important for people to follow all instructions on how to use the medicine. […] Tinea versicolor can be prevented and managed with some simple home remedies and lifestyle changes. […] Keeping the skin clean and oil-free is the most important thing that can be done to keep a tinea versicolor infection from occurring. […] Antifungal lotions and shampoos that are available over the counter offer a good means of prevention. […] The most effective method of prevention is hygiene. […] Removing excess oils and dirt from the skin can help protect someone from contracting this infection. […] Despite being generally responsive to treatments, it is an easily recurring infection and difficult to get completely under control.

• #55 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Prior to treatment, inform patients that the causative agent of tinea versicolor is a commensal fungal inhabitant of the normal skin flora, and the disease is not contagious. Also, pigmentary alterations frequently persist following successful treatment. Restoration of normal pigmentation may take months following treatment. […] 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. […] Pityriasis versicolor is a benign but commonly recurrent superficial fungal infection of the skin. Therefore, patients need effective follow-up care to implement a relapse prevention strategy. Effective communication within the patient’s healthcare team is necessary to ensure all clinicians know the treatment to avoid any possible medication interactions if oral therapy is elected. Proper patient education by the healthcare team can decrease patient anxiety regarding transmission, permanent skin color changes, and recurrence to provide the best patient outcome.

• #56 Tinea Versicolor – StatPearls – NCBI Bookshelf

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

  Prior to treatment, inform patients that the causative agent of tinea versicolor is a commensal fungal inhabitant of the normal skin flora, and the disease is not contagious. Also, pigmentary alterations frequently persist following successful treatment. Restoration of normal pigmentation may take months following treatment. […] 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. […] Pityriasis versicolor is a benign but commonly recurrent superficial fungal infection of the skin. Therefore, patients need effective follow-up care to implement a relapse prevention strategy. Effective communication within the patient’s healthcare team is necessary to ensure all clinicians know the treatment to avoid any possible medication interactions if oral therapy is elected. Proper patient education by the healthcare team can decrease patient anxiety regarding transmission, permanent skin color changes, and recurrence to provide the best patient outcome.

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