Pityriasis(tinea) versicolor

PITRIASIS (TINEA) VERSICOLOR

It is a superficial fungal infection associated with pigmentation changes in the skin as a result of excessive proliferation of the Malassezia fungus, which settles in our hair follicle and skin after puberty, that is, normally added to our skin flora.

It usually starts with puberty and is observed equally in both sexes. It is not contagious.

It is excessive sweating that stimulates the growth of the fungus. Therefore; factors that cause excessive sweating; It occurs due to reasons such as climate, exercise, structural reasons (those with oily skin / oily eczema), cocoa butter use or systemic diseases (cushing, hyperthyroidism).

It causes sharply circumscribed, fine bran, light brown or pinkish lesions, often on the upper body. In individuals with dark skin type, the opposite happens in the form of white areas. In individuals with low immune response, it can be observed in a much different intensity than the usual appearance. In children, the face may be involved. Patients notice that the rash points are not sunburned compared to other body areas.

Diagnosis; Dermatological examination is done when the dandruff is spilled in the form of sawdust (also called chip sign or sawdust) and fungal structures are seen in microscopic examination.

What do we use in the treatment?

Shampoos containing selenium sulfide, shampoos containing tea tree oil

Fungus creams/sprays or pills can be used.

It may also be located deep in the hair follicle, so it tends to recur. Long-term prophylactic treatment may be recommended in patients with frequent relapses.

In tables with whiteness called hypopigmentation, the whiteness may not regress because this yeast inhibits the tyrosinase enzyme responsible for pigment production.

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