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.

• #2 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.

• #3 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).

• #4 Pityriasis versicolor. Tinea versicolor

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

  Reapplication of a topical treatment such as selenium sulfide shampoo every month once the rash has cleared will usually prevent recurrence. […] Regular use of topical treatment minimises this risk.

• #5 Tinea Versicolor (Pityriasis Versicolor) | Cedars-Sinai

  https://www.cedars-sinai.org/health-library/diseases-and-conditions/t/tinea-versicolor-pityriasis-versicolor.html

  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.

• #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. […] 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 – Symptoms & causes – Mayo Clinic

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

  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.

• #9 Tinea versicolor: treatment and prophylaxis with monthly administration of ketoconazole – PubMed

  https://pubmed.ncbi.nlm.nih.gov/6094116/

  Twenty-two patients with tinea versicolor (pityriasis versicolor) were treated with a single 400 mg dose of ketoconazole and evaluated one month later. […] Prophylaxis with single monthly doses of 400 mg of ketoconazole has resulted in one recurrence to date, with follow-up for four to fifteen months (mean of 8.2 months) in twenty patients. […] No side effects from ketoconazole were reported by any of the patients.

• #10 Tinea versicolor: Tips for managing

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

  If tinea versicolor is mild, you may be able to treat it yourself. There are anti-fungal products that you can buy without a prescription. These include: […] When using these products, dermatologists recommend the following: […] Some people need stronger medicine, so they see a dermatologist. Whether you decide to self-treat or see a dermatologist, these tips can help you get better results: […] Stop using skin care products that are oily. Use products that are oil-free. The label may also read „non-comedogenic.” […] 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. […] Make sure to use a sunscreen that offers: […] Non-greasy formula (label may read „oil-free” or „non-comedogenic”).

• #11 Pityriasis Versicolor: Symptoms and Treatment | Doctor

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

  For those who are prone to develop recurrent episodes in warm or humid environments, they can be advised to use ketoconazole shampoo prophylactically once a day for three days prior to any exposure. […] Ketoconazole or selenium sulfide shampoo may be applied for five to ten minutes one to four times monthly for those who have frequent recurrences.

• #12 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.

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

  https://www.advanceddermnco.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.

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

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

  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. […] The most effective method of prevention is hygiene. Removing excess oils and dirt from the skin can help protect someone from contracting this infection. […] Antifungal lotions and shampoos that are available over the counter offer a good means of prevention. These same products can also help keep a mild infection under control. […] Additionally, taking some extra steps to keep dry in hot and humid weather and avoiding excessive exposure to sunlight may help to stop the growth of tinea versicolor.

• #39 Tinea Versicolor: Causes, Symptoms, Risk Factors, Diagnosis & Treatment

  https://www.prepladder.com/neet-pg-study-material/dermatology-and-venereology/tinea-versicolor-causes-symptoms-risk-factors-diagnosis-treatment-and-prevention

  Your doctor may recommend a once- or twice-monthly cutaneous or oral therapy to help prevent tinea versicolor from reoccurring. These may only be necessary to use during the hot, humid months. Preventive measures include: […] Lotion or shampoo containing 2.5 percent selenium sulfide (Selsun) […] Cream, gel, or shampoo containing ketoconazole (also known as Nizoral or Ketoconazole) […] Itraconazole (Onmel, Sporanox) pills, capsules, or oral solution […] Fluconazole (Diflucan) pills or an oral solution.

• #41 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.

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

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

  Pityriasis versicolor is a fungal infection of the skin caused by a yeast-like germ that causes a rash to form. […] 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.

• #43 Monthly Itraconazole Controls Pityriasis Versicolorlogo-32logo-40logo-60NEJM Journal WatchnejmJW_1L_RGB-b

  https://www.jwatch.org/jd200202120000006/2002/02/12/monthly-itraconazole-controls-pityriasis

  Pityriasis versicolor (PV) responds well to treatment with itraconazole at 200 mg/day for 7 days. […] To evaluate the efficacy of itraconazole prophylaxis, patients with PV were first treated with 200 mg/day of itraconazole for 7 days, and those that responded were then given prophylactic itraconazole (two 200-mg doses, 12 hours apart) or placebo 1 day per month for 6 months. […] The authors conclude that itraconazole is a highly effective treatment for PV and that at prophylactic doses of 400 mg/month it prevented relapses during the course of this study. […] Patients considering prophylaxis must understand that it may require a long-term commitment. Intermittent courses of itraconazole for 5 to 7 days, given, perhaps, every 6 months may be easier, but the efficacy of such a regimen is unknown.

• #44 Antifungal Treatment for Pityriasis Versicolor

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

  Topical antifungal medications are the first-line treatment for PV, including zinc pyrithione, ketoconazole, and terbinafine. […] 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.

• #45 Pityriasis Versicolor—A Narrative Review on the Diagnosis and Management

  https://www.mdpi.com/2075-1729/13/10/2097

  Antifungal treatment promptly eliminates the fungus, and the prognosis is generally good. Nevertheless, untreated PV may persist for years. The recurrence rate is high (up to 80%) […] Prolonged prophylaxis with topical agents should be considered in recurrent cases, especially during warmer and more humid months. The whole-body application of antifungal shampoos or soaps with selenium sulphide, zinc pyrithione, ketoconazole, and terbinafine might limit the recurrence rate. […] Prophylactic use of oral antifungal agents (viz., itraconazole or fluconazole) remains a practical alternative, especially if topical agents fail to eliminate the infection.

• #46 Pityriasis Versicolor in Africa; What you need to know for a healthy skin

  https://www.datelinehealthafrica.org/pityriasis-versicolor-in-africa-what-you-need-to-know-for-a-healthy-skin

  Heres how individuals can effectively manage and prevent the recurrence of pityriasis versicolor: […] Regularly cleanse the skin with mild soap and water, paying particular attention to areas prone to sweating, such as the chest, neck, and upper arms. […] Gently shed the skin using loofah or soft brush to remove dead skin cells and reduce the buildup of oil and sweat. […] Avoid using oily or greasy skin care products, as these can contribute to the growth of Malassezia yeast. […] Practice good scalp hygiene by washing the hair regularly with a medicated shampoo containing antifungal ingredients, especially if scalp involvement is present. […] Maintain a clean and dry living environment by regularly washing bedding, towels, and clothing, particularly items that come into direct contact with the skin.

• #46 Pityriasis Versicolor in Africa; What you need to know for a healthy skin

  https://www.datelinehealthafrica.org/pityriasis-versicolor-in-africa-what-you-need-to-know-for-a-healthy-skin

  Ensure proper ventilation and airflow in living spaces to reduce humidity levels, as high humidity can promote the growth of Malassezia yeast. […] Avoid sharing personal items such as towels, clothing, and hairbrushes with others to minimise the risk of spreading the infection. […] Wear loose-fitting, breathable clothing made from natural fibers such as cotton, which allows the skin to breath and reduces sweating. […] Limit exposure to hot and humid environments, especially during the warmer months or in regions with tropical climates. […] Maintain a healthy lifestyle by eating a balanced diet, staying hydrated, getting regular exercise, and managing stress levels, as these factors can contribute to overall skin health and immune function. […] Educate yourself and others about pityriasis versicolor, including its causes, symptoms, treatment options, and preventive measures.

• #46 Pityriasis Versicolor in Africa; What you need to know for a healthy skin

  https://www.datelinehealthafrica.org/pityriasis-versicolor-in-africa-what-you-need-to-know-for-a-healthy-skin

  Raise awareness about the importance of early detection and treatment of the condition to minimise its impact on quality of life and prevent recurrence. […] Encourage open communication with healthcare providers about any skin concerns or symptoms, and seek prompt medical attention if symptoms persist or worsen despite self-care measures.

• #47 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.

• #48 Tinea Versicolor (Pityriasis Versicolor)

  https://library.valleymed.org/library/PreventionGuidelines/85,P00320

  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.

• #50

  https://www.soin-et-nature.com/en/pityriasis-versicolor-1532?srsltid=AfmBOorcb_vDayQLwU3D2melW9Z91cceu3AdLiDwu75GQ3rCg7Zw37E9

  Preventing pityriasis versicolor involves managing the factors that encourage yeast proliferation. Keeping the skin dry, avoiding excess heat and humidity, and using suitable products to control sebum production can help prevent its appearance. It’s also advisable to change clothes regularly, especially after physical activity, to keep skin clean and dry. […] Regular follow-up with a dermatologist and the adoption of preventive measures can help control recurrences and maintain healthy skin.

• #52 Tinea Versicolor | Bryn Mawr Skin & Cancer Institute

  https://www.cirilloinstitute.com/medical-dermatology/dermatology-conditions/tinea-versicolor/

  Relapses typically occur in the warmer months of the year. […] If this occurs, dermatologists recommend starting preventative therapy with topical and oral medications as soon as the warm weather returns. […] Other steps that patients can take to ward off yeast infections include avoiding excessive heat and sweating, changing workout clothing right after working out, and washing the affected areas with Selsun Blue (selenium sulfide) shampoo several times per week.

• #53 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.

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