Tinea Versicolor (Pityriasis Versicolor)

Characteristics features

• Velvety, tan, pink, or white macules or white macules that do not tan with sun exposure.
• Fine scales that are not visible but are seen by scraping the lesion
• Central upper trunk the most frequent site.
• Yeast and short hyphae observed on microscopic examination of scales
• Tinea versicolor is a mild, superficial Malassezia infection of the scales skin (usually of the upper trunk).

Initial treatment

• Selson blue (selenium sulfide) lotion, apply from neck to waist daily and leave it for 5-15 minutes for 7 days; this treatment is repeated weekly for a month
• Conaz / Ketco (Ketoconazole shampoo, 1 % or 2 %) lather it on the chest and back and leave it for 5 minutes may also be used weekly for treatment
• Cap - Flucon / Diflucon (fluconazole) 150 mg , 2 capsules POx stat then after 14 days .

Maintenance Therapy

• Topical treatments as described above can be used for maintenance therapy
• Selson blue (selenium sulfide) lotion, monthly and Conaz / Ketco (Ketoconazole shampo , 1 % or 2 % ) , may be used to prevent recurrence
• Imidazole creams, solutions, and lotions (e.g., clotrimazole or miconazole) are quite effective for localized areas but are too expensive for use over large areas, such as the chest and back
• Without maintenance therapy, recurrences will occur in over 80 % of ' cured ' cases over the subsequent 2 years.