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Pityriasis versicolor

case synopsis

case synopsis

previous history of similar attack that completely resolved without residue.

DD

DD

vitiligo and pityriasis versicolor

diagnosis

diagnosis

The color seems to be more hypopigmented than milky . Note the very small lesions outside the large patch. they are more common with TVC than with vitiligo . there was a previous history of similar attack that completely resolved without residue. the diagnosis of TVC was confirmed by wood light which gave yellowish fluorescence.

treatment

treatment

pityriasis versicolor is treated with topical antifungal agents. Topical azole cream/shampoo (econazole, ketoconazole) Selenium sulfide Terbinafine gel Ciclopirox cream/solution Propylene glycol solution Sodium thiosulphate solution The medicine should be applied widely to all the affected areas before bedtime for as long as directed (usually between 3 days and about two weeks, depending on extent of the rash). Oral antifungal agents, itraconazole and fluconazole, are used to treat pityriasis versicolor when extensive or if topical agents have failed.