You are on page 1of 2

Tinea Versicolor

14
7LQHDYHUVLFRORULVDFKURQLFQRQLQÁDPPDWRU\
VXSHUÀFLDOIXQJDOLQIHFWLRQRIWKHVNLQFKDUDF
WHUL]HGE\PDFXORVTXDPRXVHUXSWLRQRIYDULHG
FRORU 7KH OHVLRQV DUH DV\PSWRPDWLF KRZHYHU
FRVPHWLF FKDQJHV PD\ LQGXFH WKH SDWLHQW WR
VHHN PHGLFDO DGYLFH ,W LV FDXVHG E\ Pityrospo-
rum orbiculare ,Q DGGLWLRQ WR WKH ZLGH VSUHDG
\HDVW SKDVH D IHZ VKRUW URGV UHVHPEOLQJ
K\SKDHDUHDOVRVHHQLQDIHZQRUPDOVXEMHFWV
,Q SDWLHQWV ZLWK WLQHD YHUVLFRORU Pityrosporum
EHFRPHVGLPRUSKRXVE\IRUPLQJLQDGGLWLRQWR
VSRUHV QXPHURXV VHSWDWH K\SKDH UHVSRQVLEOH
IRU WKH SDWKRJHQHFLW\ 7KH IDFWRUV VXFK DV
KRW DQG KXPLG FOLPDWH VZHDWLQJ SUHJQDQF\
DGPLQLVWUDWLRQRIFRUWLFRVWHURLGVSUHGLVSRVHWR
WKHFRQGLWLRQ

CLINICAL FEATURES
7KH OHVLRQV DUH PXOWLSOH PDFXOHV RI YDULRXV
VL]HVDQGVKDSHV7KHFRORURIWKHPDFXOHVPD\ Figure 14.1: Hypopigmented, multiple fawn/brown/
HLWKHUEHZKLWHIDZQRUEURZQ6FDOLQJLVQRW FRORUZLWK¿QHVFDOHV WKHFRXSG¶DQJOHRI%HVQLHU
PDUNHG EXW VFUDWFKLQJ SURGXFHV ÀQH EUDQQ\
scales (the coup d’angle sign of Besnier  )LJ  RI LQYROYHPHQW LV PRUH H[WHQVLYH WKDQ YLVXD
7KH\PD\DOVREHIROOLFXODU,WDIIHFWVWKHXSSHU OL]HGRQFOLQLFDOH[DPLQDWLRQ7KHSDWFKHVPD\
WUXQN SUR[LPDO SRUWLRQV RI WKH H[WUHPLWLHV EHFRPHFRQVSLFXRXVDIWHUH[SRVXUHWRVXQOLJKW
ORZHU DEGRPHQ DQG VRPHWLPHV WKH QHFN 7KH $QH[SODQDWLRQIRUWKHK\SRSLJPHQWHGPDFX
GLVWULEXWLRQLVDSWO\GHVFULEHGDVFRQIRUPLQJWR OHV LV WKH IRUPDWLRQ RI &9 DQG & GLFDUER[\OLF
D¶/DG\·VEDWKLQJVXLW· DFLGV VXFK DV D]HODLF DFLG E\ Pityrosporum
7KH OHVLRQV PD\ EH HDVLO\ YLVXDOL]HG XVLQJ RUJDQLVP 7KHVH GLFDUER[\OLF DFLGV LQKLELW WKH
D :RRG·V ODPS 7KLV PD\ UHYHDO WKDW WKH DUHD W\URVLQDVHDFWLYLW\
7LQHD9HUVLFRORU 65
Table 14.1: Treatment of tinea versicolor
Treatments Modes of application
 SHUFHQWVHOHQLXPVXO¿GHORWLRQ 6HOVXQ  $SSO\WRWKHDIIHFWHGDUHDVRYHUQLJKWWZLFHDZHHNIRU
  WRZHHNV
 SHUFHQWVRGLXPWKLRVXOIDWHORWLRQ $SSO\WRWKHDIIHFWHGDUHDVRQFHDGD\IRUWRZHHNV
 2QHSHUFHQW]LQFS\ULWKLRQHVKDPSRR $SSO\WRWKHDIIHFWHGDUHDVIRUWRPLQHYHU\QLJKW
  IRUZHHNV
 7RSLFDODQWLIXQJDOFUHDP $SSO\RQFHDGD\IRUWRZHHNV
 &ORWULPD]ROHSHUFHQWFUHDP &DQHVWHQ,PLGLO
 0LFRQD]ROHQLWUDWHSHUFHQWFUHDP 0LFRJHO=ROH
 .HWRFRQD]ROHSHUFHQWFUHDP )XQJLQRF3K\WRUDO 

DIAGNOSIS PHODQL]HG PHODQRVRPHV $OVR WKH QXPEHU


7KH GLDJQRVLV RI WLQHD YHUVLFRORU LV FOLQLFDO ,W RI PHODQRVRPHV LV UHGXFHG LQ PDQ\ RI WKH
PD\EHVXSSOHPHQWHGE\WKHIROORZLQJ NHUDWLQRF\WHV7KLVLVH[SODLQHGE\DQDEQRU
‡ ([DPLQDWLRQRIWKHVFDOHVXQGHUWKHPLFUR PDOPDWXUDWLRQRIPHODQRVRPHVDQGSDUWLDO
VFRSHDIWHUGLVVROYLQJWKHPLQWRSHU EORFNLQWKHLUWUDQVIHUWRNHUDWLQRF\WHV
FHQWSRWDVVLXPK\GUR[LGH7KLVUHYHDOVÀOD
PHQWVKDYLQJDWHQGHQF\WREUHDNLQWRVKRUW TREATMENT
VHJPHQWV RI YDULRXV VL]HV DQG JUDSHOLNH 7LQHD YHUVLFRORU UHVSRQGV WR WKH WRSLFDO DSSOL
FOXVWHUV RI EXGGLQJ FHOOV 7KLV DSSHDUDQFH FDWLRQ RI DQWLIXQJDO FUHDPV 7DEOH   7KH
RIWKH\HDVWDQGK\SKDOIRUPVLVUHIHUUHGDV DFWLYH LQIHFWLRQ PD\ EH FXUHG ZLWKLQ D IHZ
¶VSDJKHWWLDQGPHDWEDOO· GD\V RI VWDUWLQJ WKHUDS\ +RZHYHU WR SUHYHQW
‡ &XOWXUH RI Pityrosporum orbiculare LQ D OLSLG UHODSVH WKH WUHDWPHQW PD\ EH FRQWLQXHG IRU 
ULFKRLOPHGLXP7KHIXQJXVIRUPV\HOORZLVK WRZHHNV)XUWKHUPRUHWKHSDWLHQWVKRXOGEH
RUFUHDP\FRORQLHV H[SODLQHGWKDWSLJPHQWDU\FKDQJHVZRXOGWDNH
‡ +LVWRSDWKRORJLFDOH[DPLQDWLRQRIDSHULRGLF IHZPRQWKVWRUHVROYH
DFLG6FKLII VWDLQHG VHFWLRQ UHYHDOV K\SKDH
DQGVSRUHVLQWKHKRUQ\OD\HU)XUWKHUPRUH RECOMMENDED READING
WKH K\SRSLJPHQWHG DUHDV DUH FKDUDFWHUL]HG   %RUHOOL ' -DFREV 3+ 1DOO / 7LQHD YHUVLFRORU
(SLGHPLRORJLFFOLQLFDODQGWKHUDSHXWLFDVSHFWVJ
E\DQRUPDOQXPEHURIPHODQRF\WHVZKRVH Am Acad Dermatol
GHQGULWHV DUH ÀOOHG ZLWK VPDOO VSDUVHO\

You might also like