Abstract
Pityriasis versicolor is a common superficial fungal infection of skin mostly seen in people living in tropics and in hot humid environment. A 25 year old female presented with multiple asymptomatic hypopigmented, mildly scaly lesions over upper trunk, neck and upper arms. Scratch test with slide showed accentuation of scales and potassium hydroxide mount of scales showed fungal spores and short, broad, branched hyphae, confirming the diagnosis of pityriasis versicolor. Treatment is mainly topical therapy and oral antifungals can be prescribed as second line therapy. Lifestyle modifications are advocated to prevent recurrence.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Kallini JR, Riaz F, Khachemoune A. Tinea versicolor in dark-skinned individuals. Int J Dermatol. 2014;53(2):137–41.
Gupta AK, Bluhm R, Summerbell R. Pityriasis versicolor. J Eur Acad Dermatol Venereol. 2002;16:19–33.
Crespo-Erchiga V, Florencio VD. Malassezia yeasts and pityriasis versicolor. Curr Opin Infect Dis. 2006;19:139–47.
Mendez-Tovar LJ. Pathogenesis of dermatophytosis and tinea versicolor. Clin Dermatol. 2010;28(2):185–9.
Allen HB, Charles CR, Johnson BL. Hyperpigmented tinea versicolor. Arch Dermatol. 1976;112:1110–2.
Galadari I, el Komy M, Mousa A, Hashimoto K, Mehregan AH. Tinea versicolor: histologic and ultrastructural investigation of pigmentary changes. Int J Dermatol. 1992;31:253–6.
Dotz WI, Henrikson DM, Yu GS, Galey CI. Tinea versicolor: a light and electron microscopic study of hyperpigmented skin. J Am Acad Dermatol. 1985;12:37–44.
Papa CM, Kligman AM. The behavior of melanocytes in inflammation. J Invest Dermatol. 1965;45:465–73.
Sunenshine PJ, Schwartz RA, Janniger CK. Tinea versicolor. Int J Dermatol. 1998;37(9):648–55.
Gupta AK, Batra R, Bluhm R, Faergemann J. Pityriasis versicolor. Dermatol Clin. 2003;21:413–29.
Gupta AK, Kogan N, Batra R. Pityriasis versicolor: a review of pharmacological treatment options. Expert Opin Pharmacother. 2005;6:165–78.
Gupta AK, Lyons DC. Pityriasis versicolor: an update on pharmacological treatment options. Expert Opin Pharmacother. 2014;15(12):1707–13.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Sharma, P. (2020). A 25-Year Old Woman with Scaly Hypopigmented Lesions. In: Kothiwala, S., Kumar Tiwary, A., Kumar, P. (eds) Clinical Cases in Disorders of Melanocytes. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-22757-9_8
Download citation
DOI: https://doi.org/10.1007/978-3-030-22757-9_8
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-22756-2
Online ISBN: 978-3-030-22757-9
eBook Packages: MedicineMedicine (R0)