Tinea Versicolor
I. Definition:
Tinea versicolor is a chronic skin condition caused by a yeast living on
normal skin of all people. In most people, the presence of this yeast on the skin is not
visible. In some people, for unknown reasons, the yeast grows more actively and causes an
itchy scaling rash.
II. Causes:
- Tinea versicolor is caused by a yeast called Pityrosporon orbiculare.
- People who have tinea versicolor are genetically predisposed to
developing a rash when this germ is present on the skin.
- When the yeast grows on untanned skin, the rash is pink to brown. When
the yeast grows on tanned skin, the rash looks white because the yeast blocks out the
sunlight and the skin where the yeast is growing does not tan. When growing on Asian or
African-American skin, the rash can look darker or lighter than the surrounding skin
depending on the patient
III. Treatment:
- There is no permanent cure for tinea versicolor.
- Selenium sulfide 2.5 percent should be applied to the skin, between the
neck and the knees, before bed every night for 2 nights and washed off the following
morning. After this, use the selenium sulfide once a week to once a month in the above
manner to keep the condition under control.
- Resistant cases can be treated with an antifungal cream applied directly
to the skin.
- Some doctors use pills to treat this condition. We do not do this because
the pills have side effects and offer no permanent solution.
- The uneven pigmentation that can develop from this condition can be
improved with daily alpha hydroxyacid lotion
application to the involved areas for several months.
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