Scaly Hypopigmentation

Macule

 Scaly Hypopigmented macule

Round shape
20 x 7 cm

Hypopigmentation macule

Tinea Versicolor
Vitiligo
Seborrheic dermatitis
Ptyriasis alba

Soutor C, Hordinsk MK. Clinical Dermatology. United States: McGrawhill

education; 2013. P 84-5.

fitz

Tinea Versicolor
Pityriasis versicolor is a chronic mild
superficial infection of Malassezia furfur.
Malassezia species are lipophilic yeasts, and
most require lipid in the medium for growth.

Brooks G, Carroll KC, Butel JS, Morse SA, Mietzner TA. Jawetz, melnick&
adebergs: Medical Microbiology. 26 ed. United states:McGraw Hill;2013. p
676-7.

 skin eruption that usually develops after sun

exposure with white macules on the tanned
skin but pale brown patches on the covered
areas, hence the name versicolor, or
variable colour.
The lesions are:
o flat
o only partially depigmentedareas of vitiligo
are totally white
o do not show inflammation or vesicles.

Pathophysiology
Azelaic acid that inhibits the enzyme
that produce melanin production.

Laboratory finding
a superficial scraping from a lesion
grapes and bananas (spaghetti
and meatballs in the United States).
woods light mau show yellowish
fluoresence

treatment
Selenium sulphide shampoo applied
regularly with ample water while showering
or bathing will clear the infection. The colour
change may take some time to clear.
Ketoconazole cream is an effective
alternative. Oral terbinafine, which is very
effective in other fungal infections, has no
effect.
Buxton P K. Abc of dermatology. Fourth edition. BMJ publishing group; 2003. p. 312.