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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Treatment For Pityriasis Versicolor?

pityriasis versicolor ...
hey i get these white spots on my body....i
believe its called pityriasis versicolor or tinea versicolor...i used to get it more in the summer n then it wud go away..but now i have more than a year with it again..and this time it doesnt seem to go away..its only shoulders and back...i dont know what to do anymore, its embarrassing.
Mon, 16 Jun 2014
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Dermatologist 's  Response
Hello and welcome to healthcaremagic

Pityriasis versicolor is a superficial fungal infection caused by Malassezia Furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus.

Clinically it presents as light colored patches with fine, brawny scaling and post-inflammatory hypopigmentation.

A single oral dose of an oral antifungal e.g fluconazole 400 mg is curative OR Itraconazole 200 mg once daily for a week, is an alternative.

If i were your treating dermatologist, i would have also asked you to apply 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days.

Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for 5-10 minutes

Repeated recurrences are common and the patches may seem to persist for ever, with new patches appearing while older one resolve.

Those who have repeated recurrences should use a prophylactic 3 days therapy with topical antifungals, every month i.e 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days.

Regards
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What Is The Treatment For Pityriasis Versicolor?

Hello and welcome to healthcaremagic Pityriasis versicolor is a superficial fungal infection caused by Malassezia Furfur. The infection is more common in hot and humid weather conditions, which favor the growth of the fungus. Clinically it presents as light colored patches with fine, brawny scaling and post-inflammatory hypopigmentation. A single oral dose of an oral antifungal e.g fluconazole 400 mg is curative OR Itraconazole 200 mg once daily for a week, is an alternative. If i were your treating dermatologist, i would have also asked you to apply 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. Post-inflammatory hypopigmentation takes some time to respond. Repigmentation can be hastened by daily sun exposure for 5-10 minutes Repeated recurrences are common and the patches may seem to persist for ever, with new patches appearing while older one resolve. Those who have repeated recurrences should use a prophylactic 3 days therapy with topical antifungals, every month i.e 2% ketoconazole lotion over the whole affected while showering and leave it on for 5 minutes daily for 5 days. Regards