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Tinea versicolor: an updated review.

Alexander Kc Leung1, Benjamin Barankin2, Joseph M Lam3,4

  • 1Department of Pediatrics, The University of Calgary, and The Alberta Children's Hospital, Calgary, Alberta, Canada.

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|December 1, 2022
PubMed
Summary
This summary is machine-generated.

Tinea versicolor, a common fungal skin infection, is typically diagnosed by its appearance and treated with topical antifungals. Oral antifungals are reserved for severe or recurrent cases.

Keywords:
Malassezia speciesevoked scale signfluconazoleitraconazoleketoconazolepityriasis versicolorselenium sulfideterbinafinezinc pyrithione

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Area of Science:

  • Dermatology
  • Mycology
  • Infectious Diseases

Background:

  • Tinea versicolor is a prevalent superficial fungal infection.
  • It presents with diverse clinical manifestations on the skin.

Purpose of the Study:

  • To update physicians on the clinical features of tinea versicolor.
  • To review diagnostic methods for tinea versicolor.
  • To outline current management strategies for tinea versicolor.

Main Methods:

  • A comprehensive literature search was performed in July 2022.
  • PubMed Clinical Queries was utilized with terms 'tinea versicolor' and 'pityriasis versicolor'.
  • The search included clinical trials, observational studies, and reviews from the past decade.

Main Results:

  • Tinea versicolor is caused by Malassezia species.
  • Diagnosis is primarily clinical, supported by KOH preparation showing characteristic hyphae and spores.
  • Topical antifungal therapy is the preferred first-line treatment due to safety and cost-effectiveness.

Conclusions:

  • Topical antifungals are recommended for most tinea versicolor cases.
  • Oral antifungals are indicated for extensive, recurrent, or refractory infections.
  • Treatment selection considers efficacy, safety, and patient factors.