Doctor insights on:
Tinea Versicolor Hair Loss
I have Tinea versicolor and am using Selsun blue topically. I see hair loss can be caused by selsun, am I at risk by topical use?
Hair loss, otherwise known as alopecia, can be caused by different reasons, including damage to the hair shaft or follicles or fungal infections. There are two main types of alopecia. Alopecia areata occurs when the body's immune system attacks hair follicles and causes hair to fall out. Androgenetic (or androgenic) alopecia, on the other hand, is an inherited form of hair loss. With alopecia areata, hair can fall out in patches all over the body. With androgenetic alopecia, hair on the head first thins and then falls out. In men, this is called male pattern hair loss; in women, it is called ...Read more
I've had this odor emmiting from head & face and recently been told I have tinea versicolor. It feeds off oils and dead skin cells. Can it be the cause?
Can be: It can be part of it. Please see your dermatologist for evaluation and to discuss treatment options. This way you can get the best treatment. ...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
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
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
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
1. Selsun lotion
2. Antifungal agent taken by mouth (e.g. Ketoconazole)
#1 takes a week or more, bathing with the lotion that should be left on the skin for several minutes. #2 can be done in as little as 1 to 3 days- optimally by taking the medication, then a 1/2 hr later, engaging in activity that will allow you to sweat. Remember to wash your undershirts after therapy to avoid reinfection. ...Read more
Maybe: Tinea versicolor is caused by a pretty tough little fungus that lives on your skin. Coconut oil has lauric acid in it, and this is thought to help with foot fungus and have other anti-fungal properties. While there are some reports of it helping, there are many other tree oils that help. So, if you want to try it it likely won't hurt you, but modern antifungals work very well too. ...Read more
Difficult: I usually start my patients with tinea versicolor on a regimen of selenium sulfide lotion 2.5% daily to affected area as well as a one time dose of ketoconazole 400 mg. Recurrences are common and I advise patients to continue using the selenium sulfide monthly to prevent recurrences after the initial intensive treatment. ...Read more
Color returns slow: Once treated with either selenium sulfide, topical antifungals such as ketoconazole or oral antifungals only the scaling will be gone. The color in hypo pigmented tine versicolor will return very slowlyin those cases the tine versicolor appeared lighter than the surrounding skin. Uvb light can be used if ne essay to repugnant skin, although it will return when exposed to sun. ...Read more
Wrong question: Cyanide is "natural". So is poison ivy. What you need to know is what is effective & what is safe. Otc you can get Miconazole or Clotrimazole cream: cheap, safe, effective. You can also get head& shoulders or selsun or ketoconazole shampoo. Rub on the shampoo 1 or 2 hours before you get in the shower. Prescription azole tabs are the easiest treatment. ...Read more
Yes, it's possible.: Tinea versicolor is a fungal infection of the skin. Perspiration and hot humid environments are conducive to the spread of this offending agent. Consequently with skin to skin contact of a newborn in a warm, moist environment it is conceivably "possible" to spread this to a baby. Having said that, in my 30 years of active pediatric office practice I have yet to see a newborn with tinea versicolor. ...Read more
Yes: Yes, the 2% cream can be used twice a day for 2 weeks to treat Tinea versicolor. You should see your physician, however, before using, as tinea versicolor could be confused with other things, such as dermatitis or vitiligo, which would not be treated with an antifungal. Best wishes. ...Read more
No: We use dandruff shampoos on wide areas of skin. These may be zinc pyrethrum, selenium, ketoconazole, others. Azole creams such as miconazole, clotrimazole, ketoconazole are useful.! or 2 oral doses of fluconazole or other azole is the easiest, cheapest, most effective. You may defer this during pregnancy. ...Read more
Yes: Yes, it is safe on the face. ...Read more
Yes you can: Appply on your face twice a day where the rash is. ...Read more
I need a shampoo with 2% of selenium sulfide to treat tinea versicolor. Which one do you recommend I get?
Selsun Blue: Selsun blue contains selenium sulfide. Other shampoo that can treat this condition contains 1% ketoconazole (available over the counter) and 2% ketoconazole (available by prescription). If the tinea versicolor is extensive and not improving with the shampoos, you should visit your dermatologist to start on an oral pill. ...Read more
Is loprox (ciclopirox) cream ok to use on my mild to oily skin on face to treat tinea versicolor or is the gel version better?
Not much difference: The 3 topical formulations (gel, cream, lotion) available offer little difference for skin type...They just feel a bit different during application because of different consistency, but otherwise they all dry out relatively quickly and thus probably won't make much of a difference for you. So whatever you have/got, give it a try. U probably have more than just on face? Consult doc. Good luck. ...Read more
How can I cure/get rid of tinea versicolor...Have used selsun blue...Taken perscribed pills by dermatologists...Nothing works. Help!?
Persistence: Tinea versicolor takes time to clear & often recurs. Perhaps prescription strength selenium sulfide lotion (2.5%) applied for 10 minutes daily for 7 days will work better than otc selsun blue (due to higher concentration of active ingredient). Washing clothing, bedding, bath linens (or perhaps using an ultraviolet wand) to destroy the fungus will speed recovery. ...Read more
How can I darken a region of lighter skin on my chest? I once had tinea versicolor but doctors determined the fungus to be gone. Is tanning ok?
I wouldn't try: This post-inflammatory pigmentation is to be expected. Exposing your skin to ultraviolet will age it faster than it needs to happen, and risks cancer down the road. Messing around with darkeners like permanganate is more likely to leave a mess. In real life, there are no movie-star-perfect bodies, and nobody cares. At your age, like any other, looks are 95% about fitness. Best wishes. ...Read more
Dry itchy white bumps on arm last summer grew into a big pigment less white patch. I thought it was tinea versicolor as it increased when in sun.?
Pityriasis Alba: The white rough plaque you are describing sounds like pityriasis alba. This is often seen on the face, arms, shoulders, and neck of young people, especially kids. It is a results of mild eczema and dry skin. Usually, with good moisturizing, it will lessen. However, it worsens in the summer because the area does not tan while the surrounding skin does, making it more visible. See a derm. ...Read more
Is sulfur soap good to treat and prevent reoccurrence of tinea versicolor? And is there a faster way to rid the white spots on skin. Thank you!
I have tinea versicolor I'm using the cream clotrimazol betamethasone for over 2 months now jus got though 30 terbinafine pills but no results wat do?
Oily products can make tinea versicolor worse. Can loprox (ciclopirox) cream applied on face make it worse? Is it an oily cream it contains mineral oil!
Occlusion is bad: Anything that occludes evaporation on the skin is bad for tinea versicolor, a fungal infection of the skin. Best to use products without oils like a water soluble cream. Lotrimin (clotrimazole) cream [over the counter] may help. Sometimes systemic antifungal therapy, prescribed by your doc, is needed. Make sure you wash towels in hot water and if possible bleach. This infection is spread on clothing & towels. ...Read more
I havé tinea versicolor since 4 month. Took sporanox (itraconazole) 1 week 2x200 but the derm didn't even inspect with a woods lamp? Should I change derms?
No: A dermatologist can usually diagnose tinea versicolor without a woods lamp. ...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
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