Doctor insights on:
Tinea Versicolor Aafp
A fungal infection: Tinea versicolor is a fungal infection of the skin that can cause scaling and color changes. It commonly occurs on the chest, shoulders and upper back. The fungus that causes it can be found in many places, including the sweat someone leaves behind on a weight room bench. That is a reason why you may be asked to wipe down equipment after using it. ...Read more
Pityrosporum ovale: Tinea versicolor is a common fungal infection of the skin caused by pityrosporum ovale. It usually presents as dark reddish-brown patches on the skin of the back, upper arms, axilla, chest, and neck. The patches sometimes appear lighter than the surrounding skin because they do not tan with sun exposure. Treatment is often with topical antifungals (e.g. Ketoconazole). ...Read more
Several choices: If you're not adverse to taking a safe medication... the physicians I've known who've had this very common skin problem take a big ketoconazole tablet and then go work out to build up a sweat. Doing this once a month usually keeps tinea versicolor under control. Topical ketoconazole, or a selenium sulfide shampoo, are among your many other options. ...Read more
Topical treatment: I would recommend topical therapy first, such as selenium sulfide lotion (prescription.) while there are pills available that have an indication to treat fungal skin infections (ketoconazole, itraconazole are examples) there are significant risks associated with them, such as liver toxicity. ...Read more
Antifungals: Tinea versicolor is caused by yeast living on the skin. Typically, it can be treated topically with over the counter medications such as selenium sulfide, miconazole, clotrimazole. Severe cases may require the addition of oral antifungal medications, requiring a prescription. ...Read more
Yes: Looking bad. It's your business. This is EXTREMELY easy to treat and you have many options. It's not going to kill you, but ignoring it will impress most folks -- including people you may want to know closely -- as a sign of poor self-care. The treatments are totally innocuous. ...Read more
Quite different: Ichthyosis, literally "fish skin" is an hereditary dry skin which exhibits stiff scales ALL OVER. T. versicolor is a colonization of the surface of the skin on the shoulders and chest by a yeast/ fungus, showing pale areas with fine scales. T. versicolor is curable but will recur. Ichthyosis is treatable but not curable, requiring continuous daily treatment. ...Read more
Topical anti fungal: Depending on the extension and location of the disease, you can use from Selenium Sulfide shampoo (like Selsun Blue) or Clotrimazole or terfinabine creams. Also oral antifungals can be taken for recalcitrant cases. You should expect that the skin discoloration may persist for months after treatment and resolution have occurred. ...Read more
Tinea Versicolor: Tinea versicolor is quite common particularly in the teens that I see. It is very difficult to treat but selenium sulfide (selsun) can help. Apply to affected areas and allow to dry on skin leave on for 30-60 minutes and wash off. Repeat daily up to 14 days. Other antifungal creams may be used for small areas. ...Read more
I've had tinea versicolor for 30 years; more seasonal in nature. Any OTC help available for this?
Prescription meds: This generally takes a simple prescription strength medication that most primary care docs can provide. I prescribe one in a lotion form. Contact your doc. ...Read more
See below: Tina versicolor is caused by a fungus of the genus malassezia. It is a dimorphic fungus that is part of normal skin flora. Transforming of the fugus from yeast cells to a pathogenic mycelial form is what cause the clinical disease. Why this happens is not completely understood but is associated with hot, humid weather, increased sweating and the use of topical skin oils. It is not bad hygiene. ...Read more
Sauna and Skin: Nope. The opposite. The moist warm air may increase the infection not treat it. ...Read more
No: It will not do you any good. ...Read more
Selsun Blue: Tinea versicolor is caused by the fungus, malasezzia furfura or pityrosporum. We all have it on our skin, but some people get overgrowth causing the unwanted discolored marks usually on the trunk. It produces azaleic acid, which causes the skin to lighten. Products with selenium sulfide can be helpful, although I generally prescribe an oral pill, nizoral, (ketoconazole) taken just twice. Lana long, m.D, . ...Read more
Read the directions: There should be something with it. I suggest using a small amount to rub all over the affected skin. Wash off after a few hours or over night. Expect to see desired result in appearance after a few weeks. Expect recurrence. The more you sweat the more you will get TV. Oral azole pill (I give a single dose of fluconazole) is easiest, most effective, least expensive. ...Read more
Wrong choice: This is the worst thing you can do for tinea versicolor. It will encourage fungal growth long-term and risk damaging your skin in the process. With all the different kinds of stuff that work for tinea versicolor, you can find something that works. ...Read more
Tinea versicolor: It often takes several weeks or longer for your skin color to return to normal. ...Read more
I am a 22 year old male diagnosed with tinea versicolor and have had it for almost 3 years and have tried everything and nothing has helped?
Nothing worked?: If it's tinea versicolor and you're being treated by a physician who knows how to manage it, it will melt away. If it didn't respond to the usual treatment, i'd consider the diagnosis needs to be reviewed. ...Read more
How is tinea versicolor caused? Symptoms? Will it spread 2 another person by contact? My husbnd suspect it. Dctor said fungal, but the patches luklike so
Hi there, I don't really have a question, but some additional advice would be helpful. My son has tinea versicolor, all over his back, shoulders, neck?
Add shampoo: This fungal infection looks terrible but patients don't typically have a lot of discomfort. Using the treatment your doctor, I assume, already gave you, in combination with a daily anti-fungal shampoo will make chances of re-infection less by removing spores from the reservoir in his hair. ...Read more
I have been prescribed 400mg of ketoconazole once a month for six months to treat tinea versicolor will this small dosage work and will it take the fu?
Maybe: Topical antifungal medications containing 2.5% selenium sulfide shampoo are usually recommended. Oral antifungal options include 400 mg of ketoconazole or Fluconazole in a single dose, or ketoconazole 200 mg daily for 7 days. These regimens may be made more effective by having the patient exercise 1–2 hours after taking the antifungal, to induce sweating. ...Read more