Tinea versicolor

Tinea versicolor (also known as Dermatomycosis furfuracea,^[1] Pityriasis versicolor,^[1] and Tinea flava)^[1] is a condition characterized by a rash on the trunk and proximal extremities.^[1] Recent research has shown that the majority of Tinea versicolor is caused by the Malassezia globosa fungus, although Malassezia furfur is responsible for a small number of cases.^[2][3] These yeasts are normally found on the human skin and only become troublesome under certain circumstances, such as a warm and humid environment, although the exact conditions that cause initiation of the disease process are poorly understood.^[2][4]

The condition pityriasis versicolor was first identified in 1846.^[5]

Symptoms

The symptoms of this condition include:

• Generally oval or irregularly-shaped spots of ¹⁄₄ to 1 inch (0.6 to 2.5 cm) in diameter, often merging together to form a larger patch
• Occasional fine scaling of the skin producing a very superficial ash-like scale
• Pale, dark tan, or pink in color, with a reddish undertone that can darken when the patient is overheated, such as in a hot shower or during/after exercise
• Sharp border
• Sometimes severe "pin-prick" itching in the affected areas; usually when the person's body temperature is elevated by exercise or a hot/warm environment, but the person hasn't started sweating yet. Once sweating begins the "pin-prick" itching subsides.

These spots commonly affect the back, underarm, upper arm, chest, lower legs, and neck. Occasionally it can also be present on the face. The yeasts can often be seen under the microscope within the lesions and typically have a so called "spaghetti and meat ball appearance"^[6] as the round yeasts produce filaments.

In people with dark skin tones, pigmentary changes such as hypopigmentation (loss of color) are common, while in those with lighter skin color, hyperpigmentation (increase in skin color) are more common. These discolorations have led to the term "sun fungus".^[7]

Prevalence

Tinea versicolor is a common condition. It is estimated that 2 to 8% of the population of the United States has it. This skin disease commonly affects adolescents and young adults, especially in warm and humid climates. It is thought that the yeast feeds on skin oils (lipids) as well as dead skin cells. Infections are more common in people who have seborrheic dermatitis, dandruff, and hyperhidrosis.^[4]

Treatment

Treatments for tinea versicolor include:

• Tinaderm (Tolnaftate topical solution) is a very effective lotion. Its effect is moderately long lasting. This is a water soluble lotion and is externally applied on the affected parts of skin, preferably during night hours. Its composition is 10 mg of Tolnaftate USP in Polyethylene and Glycol 400 USP NF base q.s.

• Topical antifungal medications containing 2.5% selenium sulfide (Selsun Extra Strength shampoo) are often recommended. Selsun Blue works for some people, but not all, because it only contains 1% selenium sulfide. Products containing more than 1% selenium sulfide are considered prescription strength. Other products that contain 1% selenium sulfide include [ZunSpot] medicated cream.^[8] Ketoconazole (Nizoral ointment and shampoo) is another treatment. It is normally applied to dry skin and washed off after 10 minutes, repeated daily for 2 weeks. Ciclopirox (Ciclopirox olamine) is an alternative treatment to ketoconazole as it suppresses growth of the yeast Malassezia furfur. Initial results show similar efficacy to ketoconazole with a relative increase in subjective symptom relief due to its inherent anti-inflammatory properties.^[9] 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, although permanent scarring occurs with this treatment. Clotrimazole (1%) is also used combined with selenium sulfide (2.5%) (Candid-TV).

• 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^[10][11] 400 mg daily for 3–7 days. The single-dose regimens, or pulse therapy regimes, 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.^[12]

• Some success with Senna alata has been reported.^[13]

• Recurrence is common and may be reduced by intermittent application of topical anti-fungal agents like tea tree oil or selenium sulfide.

References

External links

• Health in Plain English - Tinea versicolor
• Tinea versicolor is harmless but can recur
• Tinea versicolor Images from the US Medical Videos Journal