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Tinea versicolor

Pityriasis versicolor

Tinea versicolor is a long-term (chronic) fungal infection of the outer layer of the skin.

Causes

Tinea versicolor is fairly common. It is caused by a type of fungus called malassezia. This fungus is normally found on human skin. It only causes a problem in certain settings.

The condition is most common in adolescents and young adults. It typically occurs in hot climates. It does not spread person to person.

Symptoms

The main symptom is patches of discolored skin that:

  • Have sharp borders (edges) and fine scales
  • Are often dark reddish to tan in color
  • Are found on the back, underarms, upper arms, chest, and neck
  • Are found on the forehead (in children)
  • Do not darken in the sun so may appear lighter than the surrounding healthy skin

African Americans may have a loss of skin color or an increase in skin color.

Other symptoms include:

  • Increased sweating
  • Mild itching
  • Mild swelling

Exams and Tests

Your health care provider will examine a skin scraping under a microscope to look for the fungus. A skin biopsy may also be performed with a special stain called PAS to identify fungus and yeast.

Treatment

The condition is treated with antifungal medicine that is either applied to the skin or taken by mouth.

Applying over-the-counter dandruff shampoo containing selenium sulfide or ketoconazole to the skin for 10 minutes each day in the shower is another treatment option.

Outlook (Prognosis)

Tinea versicolor is easy to treat. Changes in skin color may last for months. The condition may come back during warm weather.

When to Contact a Medical Professional

Call your provider if you develop symptoms of tinea versicolor.

Prevention

Avoid excessive heat or sweating if you have had this condition in the past. You can also use anti-dandruff shampoo on your skin every month to help prevent the problem.

 

References

Chang MW. Disorders of hyperpigmentation. In: Bolognia JL, Schaffer JV, Cerroni L, eds. Dermatology. 4th ed. Philadelphia, PA: Elsevier; 2018:chap 67.

Patterson JW. Mycoses and algal infections. In: Patterson JW, ed. Weedon's Skin Pathology. 4th ed. Philadelphia, PA: Elsevier Churchill Livingstone; 2016:chap 25.

Sutton DA, Patterson TF. Malassezia species. In: Long SS, Prober CG, Fischer M, eds. Principles and Practice of Pediatric Infectious Diseases. 5th ed. Philadelphia, PA: Elsevier; 2018:chap 247.

    • Tinea versicolor - close-up

      Tinea versicolor - close-up - illustration

      Tinea versicolor is a superficial fungal infection common in adolescent and young adult males. This close-up view demonstrates the typical pattern of the rash.

      Tinea versicolor - close-up

      illustration

    • Tinea versicolor - shoulders

      Tinea versicolor - shoulders - illustration

      Tinea versicolor is a superficial fungal infection common in adolescent and young adult males. Frequent sites of infection include the neck, upper chest, and axilla (arm pit). The rash may range from yellow to golden brown in color. Mild itching is also associated with this infection. This photograph demonstrates fairly extensive involvement.

      Tinea versicolor - shoulders

      illustration

    • Tinea versicolor - close-up

      Tinea versicolor - close-up - illustration

      This is a fungal infection of the skin known as tinea versicolor, and is common in adolescent and young adult males. Besides the rash, there may be mild itching. Frequent sites of infection include the neck, upper chest, and arm pit (axilla). The rash may be white to yellowish to golden brown in color. A tan can accentuate the difference in skin color.

      Tinea versicolor - close-up

      illustration

    • Tinea versicolor on the back

      Tinea versicolor on the back - illustration

      Tinea versicolor is an infection caused by a fungus that is common in adolescent and young adult males. Besides the rash, seen here on the back, there may be mild itching. Frequent sites of infection include the neck, upper chest, and arm pit (axilla). The rash may be white (as seen here) to yellowish to golden brown in color. A tan can accentuate the difference in skin color.

      Tinea versicolor on the back

      illustration

    • Tinea versicolor - back

      Tinea versicolor - back - illustration

      Tinea versicolor is caused by the organism Pityrosporum ovale. It occurs most often in young adults. Wood's lamp examination revelas pale yellow-green fluorescence. KOH prep reveals spaghetti and meatballs with hyphae and spores. Skin lesions are sharply marginated macules, either hyper or hypopigmented, covered with fine scale. Small discrete lesions may eventually coalesce to cover large areas of the trunk.

      Tinea versicolor - back

      illustration

      • Tinea versicolor - close-up

        Tinea versicolor - close-up - illustration

        Tinea versicolor is a superficial fungal infection common in adolescent and young adult males. This close-up view demonstrates the typical pattern of the rash.

        Tinea versicolor - close-up

        illustration

      • Tinea versicolor - shoulders

        Tinea versicolor - shoulders - illustration

        Tinea versicolor is a superficial fungal infection common in adolescent and young adult males. Frequent sites of infection include the neck, upper chest, and axilla (arm pit). The rash may range from yellow to golden brown in color. Mild itching is also associated with this infection. This photograph demonstrates fairly extensive involvement.

        Tinea versicolor - shoulders

        illustration

      • Tinea versicolor - close-up

        Tinea versicolor - close-up - illustration

        This is a fungal infection of the skin known as tinea versicolor, and is common in adolescent and young adult males. Besides the rash, there may be mild itching. Frequent sites of infection include the neck, upper chest, and arm pit (axilla). The rash may be white to yellowish to golden brown in color. A tan can accentuate the difference in skin color.

        Tinea versicolor - close-up

        illustration

      • Tinea versicolor on the back

        Tinea versicolor on the back - illustration

        Tinea versicolor is an infection caused by a fungus that is common in adolescent and young adult males. Besides the rash, seen here on the back, there may be mild itching. Frequent sites of infection include the neck, upper chest, and arm pit (axilla). The rash may be white (as seen here) to yellowish to golden brown in color. A tan can accentuate the difference in skin color.

        Tinea versicolor on the back

        illustration

      • Tinea versicolor - back

        Tinea versicolor - back - illustration

        Tinea versicolor is caused by the organism Pityrosporum ovale. It occurs most often in young adults. Wood's lamp examination revelas pale yellow-green fluorescence. KOH prep reveals spaghetti and meatballs with hyphae and spores. Skin lesions are sharply marginated macules, either hyper or hypopigmented, covered with fine scale. Small discrete lesions may eventually coalesce to cover large areas of the trunk.

        Tinea versicolor - back

        illustration

      Review Date: 10/8/2018

      Reviewed By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

      The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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