DERMATOLOGY COMMUNITY
Tinea versicolor

Tinea versicolor

I have been getting more and more "white spots" on my arms and legs and chest for about 7 years now. At first I was told it was sun damage "the opposite of a freckle" and there was nothing I could do about it. At another dermatologist, I was told to "just use sunless tannin lotion" to cover the spots. Is there any chance this is tinea versicolor? I think I have finally found the answer, obviously without the help of the doctors. I have been self-treating with anti-fungal creams and Selsun Blue for 3 weeks now. So far, I have seen no changes.

Could this really be irreversible sun damage? Or is tinea versicolor so rare, my doctor's hadn't even heard of it?



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Avatar_dr_f_tn
Hi,
Tinea versicolor or pityriasis versicolor is a common skin infection caused by the yeast Malassezia furfur . This yeast is normally found on the human skin and only becomes troublesome under certain circumstances, such as a warm and humid environment.

Generally oval or irregularly-shaped spots of 1/4 to 1 inch in diameter, often merging together to form a larger patch, which commonly affect the back, underarm, upper arm, chest, lower legs, and neck.

Topical antifungal medications - containing either 2.5% selenium sulfide  or 2% ketoconazole (Nizoral ointment and shampoo) applied to dry skin and washed off after 10 minutes, repeated daily for 2 weeks is the treatment.

Recurrence is common and may be reduced by intermittent application of topical agents (such as tea tree oil) or adding a small amount of anti-dandruff shampoo to water used for bathing.
The diagnosis can be made  within the lesions, under the microscope where the fungi  typically have a so called "spaghetti and meat ball appearance" .

ref:
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Avatar_dr_f_tn
ref:http://en.wikipedia.org/wiki/Tinea_versicolor
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