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Pityriasis (tinea) versicolor in infancy.

A Nanda1, S Kaur, O N Bhakoo

  • 1Department of Dermatology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Pediatric Dermatology
|November 1, 1988
PubMed
Summary
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Pityriasis versicolor, a common adult skin condition, was observed in five infants. Diagnosis was confirmed via microscopic examination of skin scrapings showing yeast.

Area of Science:

  • Dermatology
  • Mycology
  • Pediatrics

Background:

  • Pityriasis versicolor is a common superficial fungal infection typically affecting adults.
  • The condition is caused by Malassezia yeasts, which are part of the normal skin flora.
  • Infantile pityriasis versicolor is considered rare, with limited case reports in medical literature.

Purpose of the Study:

  • To report on a series of five infant cases of pityriasis versicolor.
  • To describe the clinical presentation and diagnostic findings in affected infants.
  • To highlight the occurrence of pityriasis versicolor in the neonatal period and its potential associations.

Main Methods:

  • Retrospective case review of five infants diagnosed with pityriasis versicolor.
  • Diagnosis confirmed by potassium hydroxide (KOH) preparation of skin scrapings.

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  • Microscopic examination to identify the characteristic yeast and hyphal forms of Malassezia species (Malassezia furfur and/or Pityrosporum orbiculare).

    • Main Results:

    • Five infants (four males, one female) were diagnosed with pityriasis versicolor.
    • Three infants presented with lesions during the neonatal period.
    • Associated factors included maternal infection (one case), sibling diagnosis (two cases), and a history of atopy (one case with atopic dermatitis, two with family history).

    Conclusions:

    • Pityriasis versicolor can occur in infants, including the neonatal period, although it is uncommon.
    • Diagnostic confirmation relies on KOH preparation revealing Malassezia yeast.
    • The condition may be associated with familial predisposition or other atopic conditions.