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== | == Tinea Versicolor == | ||
-- History and Physical -- | |||
[[Category: | 1. Hypopigmented or hyperpigmented lesions predominantly on the trunk caused by fungus Pityrosporum ovale (oval form) or obiculare (aka Malassezia furfur) | ||
2. More common in areas of increased sebaceous glands | |||
--- Diagnosis --- | |||
1. Some demonstrate coppery-orange fluoresence under Woods Lamp | |||
2. KOH wet prep (Spaghetti and Meatballs appearance) | |||
3. Almost never cultured given difficult culture medium, benign course, and diagnostic KOH prep. | |||
--- Treatment --- | |||
1. First line topical treatment is ketoconazole (nightly application x 2 weeks) or selenium sulfide (10 minutes x bid) | |||
2. Single dose 400mg ketoconazole PO or fluconazole 150-300mg PO per week x 2-4 weeks for more resistant cases or for easy of use | |||
3. Griseofulvin is not effective | |||
--- References --- | |||
1. http://emedicine.medscape.com/article/1091575 | |||
[[Category:derm]] | |||
Revision as of 19:45, 25 September 2013
Tinea Versicolor
-- History and Physical --
1. Hypopigmented or hyperpigmented lesions predominantly on the trunk caused by fungus Pityrosporum ovale (oval form) or obiculare (aka Malassezia furfur) 2. More common in areas of increased sebaceous glands
--- Diagnosis ---
1. Some demonstrate coppery-orange fluoresence under Woods Lamp 2. KOH wet prep (Spaghetti and Meatballs appearance) 3. Almost never cultured given difficult culture medium, benign course, and diagnostic KOH prep.
--- Treatment ---
1. First line topical treatment is ketoconazole (nightly application x 2 weeks) or selenium sulfide (10 minutes x bid) 2. Single dose 400mg ketoconazole PO or fluconazole 150-300mg PO per week x 2-4 weeks for more resistant cases or for easy of use 3. Griseofulvin is not effective
--- References ---