Dear XXXXXXX

Thanks for posting your query.

Tinea Versicolor is a superficial fungal infection and is very common. The scales of the fungus are the culprit and as dandruff is also a fungal infection, the two might coexist.

People who share common towels, sweat a lot or don't maintain hygiene are more likely to have this infection than others.

Lesions are mostly limited to upper body and the treatment involves topical and oral antifungals.
Some shampoos containing antifungals are to be used in routine to clean the scales of the superficial fungus.

Also in case you don't have any of the factors likely to cause the repeated contact of infection, but still get the lesions repeatedly on your body - the fungus might be of a resistant variety and you need to be prescribed a different, higher antifungal to clear the infection.

Versicolor means various colors and hence the condition can show lesions starting from hypopigmented to de pigmented, hyperpigmented to reddish discoloration lesions.

Hope, this answers your query. Please accept my answer in case you do not have further queries.

Regards.

Dr.Rohit Batra

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Dear XXXXXXX

An antifungal like itraconazole under a dermatologist's guidance can be a good option. When taken for a week it usually clears the infection.

Even after the infection is removed the colored lesions might persist and require a topical steroid creams for a better color match.

To prevent the infection, one can use antifungal soaps for the affected area for a couple of weeks.

Geographic tongue can be due to Vitamin B deficiency or candidial infection.
The history given by you is very long standing and hence candidiasis is less likely.

Hope I have answered all your apprehensions and questions.

Please accept my answer if you are satisfied with the reply.

Regards

Dr.Rohit Batra

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