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Pityriasis Versicolor

Pityriasis versicolor is a very common fungal infection of the skin. It is caused by an overgrowth of the yeast fungus called Pityrosporum ovale (Mallassezia furfur). This yeast is normally found on the human skin and only becomes troublesome under certain circumstances, such as a warm and humid environment. It is occasionally referred to by its colloquial Hawaiian moniker, "haole rot". It can affect any part of the body but generally involves the trunk and arms. Pityriasis Versicolor condition is treated with antifungal ointment. This common fungal disease is most prevalent in the tropics where there are high humidity and high temperatures and frequent exposure to sunlight. Several studies have addressed the frequency of tinea versicolor based on sex, and no dominance of either sex is apparent. Tinea Versicolor is known to be characterised by characterized by hypopigmented or hyperpigmented macules and patches on the chest and the back.

Pityriasis versicolor (PV) is a chronic asymptomatic scaling dermatosis associated with the superficial overgrowth of the hyphal form of Pityrosporum ovale, characterized by well-demarcated scaling patches with variable pigmentation, occurring most commonly on the trunk. The term 'pityriasis' is used to describe skin conditions in which the scale appears similar to bran. The multiple colours arising in the disorder give rise to the second part of the name, 'versicolor'. It sometimes called 'tinea versicolor', although the term 'tinea' should strictly refer to infection with a dermatophyte fungus .

Causes of Pityriasis Versicolor

Common Causes of Pityriasis Versicolor :

  • Suppressed immune system , is the main cause of Pityriasis versicolor.
  • The whether condition is also an important cause of Pityriasis versicolor. It is more common in hot climates and is associated with increased sweating .
  • Abnormalit ies in the adrenal gland may also lead to the condition of Pityriasis versicolor.
  • Warm, humid environments.
  • Genetic predisposition .

Symptoms of Pityriasis Versicolor

Some common Symptoms of Pityriasis Versicolor :

  • Sharp border.
  • Itching that can worsen with sweating or overheating.
  • Oval skin patches.
  • Blotchy skin patches.
  • Areas of reduced skin color.
  • Light scaling on affected areas .

Treatment of Pityriasis Versicolor

  • Oral antifungal prescription only medications include 400 mg of ketoconazole or fluconazole in a single dose, or ketoconazole 200 mg daily for 7 days, or itraconazole 400 mg daily for 3-7 days. The single-dose regimens can be made more effective by having the patient exercise 1-2 hours after the dose, to induce sweating. The sweat is allowed to evaporate, and showering is delayed for a day, leaving a film of the medication on the skin
  • 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.
  • Topical antifungal medications - containing either 2.5% selenium sulfide (Selsun shampoo in UK, but not Selsun Blue which contains only 1%) or 2% ketoconazole ( Nizoral ointment and shampoo) applied to dry skin and washed off after 10 minutes, repeated daily for 2 weeks. Other topical antifungal agents such as clotrimazole , miconazole or terbinafine are less widely recommended. Additionally, Hydrogen Peroxide has been known to lessen symptoms, and on certain occasions, remove the problem.
  • Ciclopirox cream/solution
  • Topical azoles including clotrimazole, miconazole, econazole and ketoconazole in various formulations
  • Dietary alterations have not proved successfully in the treatment of Pityriasis versicolor.
 
 

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