Dermatology - diseases of the skin

Tinea versicolor (pityriasis versicolor) skin


Tinea Versicolor

Colored or pityriasis versicolor is a fungal recidiviruyuschee skin disease. First described by Robin in 1853. Often affects young people. In 40 – 60 years, the frequency decreases.

Reasons tinea versicolor

The causative agent is a yeast-like fungus that receiverwith in the surface layers of the skin and therefore relates to keratomycosis. Its Latin name Pytosporum orbicularae. A fungus that is opportunistic, that is, can cause disease under certain conditions, such as excessive sweating, changes in chemical composition of sweat (PH closer to alkaline), oily seborrhea of the skin, slowing down her pack, prolonged treatment with hormones.

Symptoms tinea versicolor

The disease occurs in 3 forms:

1-st form tinea versicolor, the most typical and common is erythematosquamous form, characterized by the emergence of non-inflammatory spots from brown color to the “color of coffee with milk”.

On the background of tanned skin they are white, as was the obstacle for the penetration of ultraviolet rays. Hence the name “tinea versicolor”.

The spots are at first small, then increase in size and on them we will see a barely noticeable pityriasis peeling. Itching or it will not be insignificant. Favourite localization process – chest, back. Less versicolor occurs in the shoulders and abdomen. Children can see pathogenic process and on the scalp. When treatment with iodine these spots will be allocated on a background of healthy skin. The exacerbation of the disease occurs usually in spring and autumn.

Second form, it is called the follicular. Thus on an inflammatory background, we see the appearance of papules and pustules the size of 2 to 3 mm in diameter. The process is often accompanied by itching. The development of this process contributes to the adverse history of other diseases: diabetes, hormone treatment.

When invert form versicolor foci are localized in the natural folds of the skin.

Diagnostics versicolor

Symptoms tinea versicolorDifferential diagnosis is done with such pathologies as syphilitic leukoderma, vitiligo, psoriasis. For exact diagnosis you need to consult a dermatologist.

The diagnosis of “pityriasis versicolor” is given already by visual inspection. It can also be used microscopy of skin flakes with the detection of the pathogen, an iodine test. The doctor may Shine on the center of the fluorescent lamp of wood, in the light of which spots become reddish – brown glow.

Tinea versicolor treatment

The main treatment versicolor is a local therapy of various disinfectant solutions (salicylic – resorcinol alcohol, iodine solution, spray lamizila), antifungal ointment (clotrimazole, myponga, mikoseptin). Also in industry are produced antifungal shampoos (ketoconazole, nizoral).

In the second form and when distributed process prescribed tablet formulations having fungicidal action (terbisil, Rumiko).

Any special diet is not required. The only thing to say about the most frequent change of underwear and bed linen.

After treatment the skin looks like the skin of a healthy person, no stains. Limit yourself to something not worth it.

Self-treatment versicolor

You can use folk remedies, but first have a correct diagnosis, and this can only be done by a doctor. Usually from tinea versicolor use folk remedies onion, tar Yes garlic. What smell would, for example, after application of birch tar or tincture of onion and garlic? Work colleagues or members of the household, I think you “thank You” will not tell. Best, probably means is the use of cranberry juice, Apple cider vinegar. But before that anyway consult with your doctor.

Complications versicolor

The main complication of this condition is a cosmetic defect. Neither the gift of such people who are not treated for lack of concern, saying: “his skin, like a leopard”. And of course you need to mark the transition of the disease in the second form, which occurs rarely.

Prevention versicolor

Tinea versicolor treatmentFor specific prophylaxis I prescribe to their patients using nizoral – shampoo 2 times a week for a month at the beginning of each spring and autumn period, and only on the head but estestvennyh folds. This helps to prevent disease and access to a doctor.

As nonspecific prevention – hygiene, correction of sweating.

Doctor Consultation for Jock itch tinea

Question: do tinea versicolor animals?
Answer is: No, it’s typical anthroponosis (found only in humans).

Question: If the partner is detected, pityriasis versicolor, do I need to receive prophylactic treatment?
Answer is No. As I have already said that the disease is not contagious. The fungus lives on normal, healthy skin and the disease does not occur. You need to be treated only when symptoms.

Question: I Have pityriasis versicolor. Whether it is necessary to undergo treatment, if after the South has white spots or wait when you go tanning?
Answer is: Definitely. For prevention of a recurrence. And he most likely will come.