TINEA VERSICOLOR
Essentials of Diagnosis
•
Upper trunk is mostly involved.
•
Velvety, pink/brown macules. These can be
scraped easily.
•
Hyperpigmented form is not uncommon.
•
Mostly asymptomatic, only a few develop itching.
•
Macules are 4-5 mm in diameter.
•
Thick walled budding spores may be seen under microscope.
Treatment
o
Selenium sulphide lotion may be applied from
neck to waist from 5 to 15 minutes.
o
Ketoconazole shampoo over chest and back for 5
minutes.
o
Ketoconazole 200 mg daily for 1 week gives short
term cure. Single dose of 400 mg. Ketoconazole may not work in hot humid weather.
Imidazole creams,
solutions and lotions are useful.
