These characteristic findings supported the clinical diagnosis of pityriasis versicolor pv. Pdf prevalence of pityriasis versicolor among diabetics in. Versicolor comes from the latin term varsare, which means to turn color, and the condition is thus named because the affected skin appears discolored, with scaly copper brown, pink, brown, hyperpigmented or hypopigmented macules. Brief evaluation of pityriasis versicolor in prisoners. Dermoscopy in the evaluation of pityriasis versicolor.
Pityriasis versicolor is a superficial fungal infection of the skin produced by lipophilic dimorphic fungi belonging to the genus malassezia spp, which form part of the normal skin flora. Identification of malassezia species isolated from patients with. The gulf journal of dermatology and venereology volume 19, no. Pityriasis versicolor pv is a superficial fungal infection of the skin characterized by changes in.
The genus candida is comprised of a heterogeneous group of over 200 yeast species. Background malassezia yeasts are lipophilic fungi which are regarded as normal flora of the skin, and are recovered in 7598% of healthy individuals. Pityriasis versicolor pv, a mycotic infection, is characterized by discrete or concrescent, scaly, discolored or hypopigmented areas. Seborrheic blepharitis is associated with dandruff of the scalp and may be part of an overall skin disease seborrhea which also affects the. Pdf pityriasis versicolor atrophicans researchgate. The patient was evaluated in the same clinic in july 2012, diagnosed with tinea corporis, and prescribed 250 mg oral terbinafine daily for. There are different clinical patterns of pityriasis. Tinea versicolor atau pityriasis versicolor adalah penyakit infeksi kulit yang disebabkan oleh malassezia. These lipophilic yeasts are associated with various human diseases, especially pityriasis versicolor pv, a chronic superficial scaling dermatomycosis.
These characteristic findings supported the clinical diagnosis of pityriasis versicolor. Tinea versicolor diagnosis and treatment mayo clinic. Pityriasis versicolor pv is a superficial mycosis caused by malassezia yeast. Diagnosis, epidemiology, pityriasis, tinea versicolor. It is caused by malassezia, a lipophilic dimorphic fungus. Tinea versicolor patofisiologi, diagnosis, penatalaksanaan. Pityriasis versicolor can be diagnosed by clinical signs, woods lamp luorescence, and koh examination on skin scrapings.
Memiliki ciriciri bersisik, tidak berwarna atau tidak berpigmen,1,3,10 dan tanpa peradangan. Patients with this disorder often present with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities picture 1ae. Clinical examination of the parents did not reveal any skin eruption. Pitiriasis versicolor en lactantes by romina godoy on prezi. There are different clinical patterns of pityriasis versicolor. If the area affected is small, ketoconazole or clotrimazole cream can be applied twice daily. Small numbers of the malassezia germs that causes pityriasis versicolor commonly live on the skin and do no harm. Pityriasis versicolor is a superficial fungal infection of the skin caused by malassezia species that induces a characteristic rash of well demarcated, thin, scaly plaques that can be. Pityriasis versicolor is a common yeast infection of the skin, in which flaky discoloured patches appear on the chest and back.
Identification of malassezia species isolated from patients. Infeksi ini bersifat menahun, ringan dan biasanya tanpa peradangan. Antimalassezia furfur activity of essential oils againt causal agent of pityriasis versicolor disease. Pityriasis means a type of fine skin scaling, and versicolor means changing colour. Pityriasis versicolor is an infection of malassezia spp. Aug 12, 2014 diagnosis tinea versicolor abrasion 8. Pityriasis versicolor pv is a chronic cutaneous fungal infection caused by. Pityriasis versicolor pv is a cutaneous pigmentation disorder caused by a lipophilic yeast of.
Remember that the pale areas left after treatment may take several months to. Candidiasis, tinea pityriasis versicolor, and malassezia pityrosporum folliculitis. These yeasts, called malassezia, are not related to yeast in food or to those that cause thrush. Identification of malassezia species isolated from. All the patients which we had recorded presented with multiple, asymptomatic macules of small sizes varying fromm 12 cm in diameter to 34mm in diameter, usually round to oval, hypopigmented, non scaly lesions. Anamnesis tinea versicolor umumnya tidak disertai gejala subyektif, hanya berupa keluhan kosmetik, meskipun kadang ada pruritus ringan. Pityriasis versicolor is a cosmopolitan disease that affects infants to elders, mostly aged between 15 and 30 years. Often has a relapsing nature requiring frequent treatment or prophylaxis. Pdf penile shaft involvement in pityriasis versicolor. Cohen, in pediatric dermatology fourth edition, 20 tinea versicolor.
Seborrheic blepharitis is associated with dandruff of the scalp and may be part of an overall skin disease seborrhea which also affects the chest, back, and behind the ears. The typical morphology and topography of pv allow us to make a. To clarify these factors, we investigated the skin characteristics of pityriasis versicolor patients, using a noninvasive method known as mpa 5. Patches of skin may be darker or lighter than your normal skin colour, or may be red, brown or pink. Pityriasis versicolor is a superficial, chronically recurring fungal. Isolation and speciation of malassezia in patients clinically. Report a crosssectional study abdoreza salahimoghaddam, parivash davoodian, ali jafari, mohammad ali nikoo 1 department of infectious abstract disease, hormozgan university of medical sciences, background. Eruption is most common in the summer months in adolescents. Pdf treatment of pityriasis versicolour with topical 15%. Pityriasis versicolor pv is a superficial mycosis that it can occur at any age, even in newborns.
Pityriasis versicolor pv is a chronic cutaneous fungal infection caused by proliferation of lipophilic yeast malassezia species in the stratum corneum 1,2. The term pityriasis is used to describe skin conditions in which the scale appears similar to bran. This alteration results in mild inflammation of the skin, and in. It is essential for dermatologists to recognize it and offer an appropriate treatment. Malassezia, pityriasis versicolor, potassium hydroxide. Lecba trva obvykle 1014 dnu, pro zabraneni opakovani onemocneni casto preventivne i dele. Doc 143971219pitiriasisversikolorprint yunandia wati. Indian journal of dermatology, venereology and leprology. Study of the distribution of malassezia species in patients with. We report the case of a male patient with extensive pityriasis versicolor that does not. Identification of malassezia species isolated from patients with pityriasis versicolor in sari, iran, 2012. Pdf identification of malassezia species isolated from.
The presumptive diagnoses of pityriasis versicolor and psoriasis vulgaris were confirmed by direct microscopic examination of a. Pityriasis versicolor is the only human disease for which malassezia has been fully. Report tinea versicolor is caused by a fungus that is normally present on the skin surface and is therefore not considered contagious. Tinea versicolor is a common dermatosis characterized by multiple, small, oval, scaly patches that measure cm in diameter, usually located in a guttate or raindrop pattern on the upper chest, back, and proximal portions of the upper extremities of adolescents and young adults fig. Prevalence of different malassezia species in pityriasis versicolor. He was treated with intravenous fluconazole for 2 weeks with total resolution of the lesions on followup after 3 months with no postinflammatory hypopigmentation. No specific cultures or polymerase chain reaction techniques were performed. Pityriasis versicolor, sometimes called tinea versicolor, is a common fungal infection that causes small patches of skin to become scaly and discoloured. It is a common and harmless rash due to the overgrowth of yeasts that live on everyones skin. Detection of malassezia species isolated from pityriasis versicolor. Cuadro clinico, historico, topografia y morfologia.
Pityriasis versicolor is a common superficial fungal infection of the skin. We had been recording the atypical pityriasis versicolor cases between 2012 to 20. Definisi pityriasis versicolor adalah infeksi jamur superfisial pada kulit yang disebabkan oleh malassezia furfur atau pityrosporum orbiculare dan ditandai dengan adanya makula di kulit, skuama halus dan disertai rasa gatal. Pdf evaluation of pityriasis versicolor in prisoners. Pityriasis versicolor symptoms, diagnosis and treatment. Prevalence of malassezia species in patients with pityriasis. This cross sectional study was conducted between octobers 2011 to april 2012 and a total of 4 patients clinically suspected of pityriasis versicolor, attending the department of mycology, boali sina hospital and referral laboratory of the mazandaran university of medical sciences were consecutively included. The tv rash usually has small and larger sized, scaly spots scattered over the chest and back, and upper arms, but rarely may appear on the neck and face. They tend to develop gradually and may join up to form.
Using a medicated shampoo as a bodywash to the trunk from time to time, over several months, cuts down this risk. Malassezia yeasts may also have a role in pityriasis versicolor, seborrhoeic dermatitis 5, 6, dandruff, seborrhoeic blepharitis, malassezia folliculitis, confluent, reticulate. Prevalence of malassezia species in patients with pityriasis versicolor in rosario, argentina. Pityriasis versicolor pv, also known as tinea versicolor, is caused by malassezia species. Unlike other disorders utilizing the term tinea eg, tinea pedis, tinea capitis, tinea versicolor is not a dermatophyte infection. Pityriasis versicolor pv is a mild but recurrent super. Comparative study for the reliability of cellophane tape and. It creates an uneven skin color and scaling that can be unpleasant and cause some itching that is more intense when a person gets hot. Pv is difficult to cure and the chances for relapse or recurrent infections are high due to the presence of malassezia in the normal skin flora. In agreement with other investigations 43,44, the highest prevalence of pityriasis versicolor in this study was observed for those aged between 15 to 24 years old, suggesting that the peak of the infection. The malassezia yeasts are among the normal human cutaneous flora in adults. Candidiasis or candidosis refers to a diverse profile of yeast infections caused by members of the genus candida, and predominantly by candida albicans. Mar 17, 2021 what is pityriasis versicolor and what causes it. This condition is one of the most common superficial fungal infections worldwide, particularly in tropical climates.
The rash of pityriasis versicolor often comes back. Certain environmental, genetic, and immunological factors can predispose to this pathogenic conversion and contribute to the. In tropical climates, pityriasis versicolor is more common in all age groups, but most cases occur in individuals aged 1019 years 39. How to treat tinea pityriasis versicolor with homeopathy.
Tinea versicolor ie, pityriasis versicolor is a common superficial fungal infection. Pityriasis versicolor pv is a superficial chronically recurring fungal infection which usually present with multiple oval to round patches or thin plaques with mild scale. Under certain conditions, both exogenous and endogenous, the fungus can convert from a yeast to a pathogenic mycelial form. The prevalence of malassezia yeast colonization on the glans penis of circumcised males is discussed in multiple studies. Use the link below to share a fulltext version of this article with your friends and colleagues. The potassium hydroxide preparation demonstrated spherical yeast forms and hyphae. Pityriasis versicolor caused by malassezia furfur which are normal human saprophytes but in some conditions the fungus can convert from a yeast to a pathogenic form. The aim of this work was to study the histopathological changes in the different clinical patterns of pityriasis versicolor and to. Pityriasis versicolor pv is a common fungal skin infec. Pityriasis versicolor presents as a rash affecting the trunk, neck, and shoulders. A total of 90 normal healthy subjects and 30 pityriasis versicolor patients were included in. In conclusion malassezia globosa was the main species causing pityriasis versicolor infections, followed by malassezia furfur, malassezia restricta and malassezia. Where the word versicolor refers to a multicolored rash, when this fungus grows, the skin disease pityriasis versicolor is produced. Pityriasis versicolor is one of the most frequent fungal cutaneous infections.
Mar 04, 2020 pityriasis versicolor is a superficial fungal infection of the stratum corneum, due to dimorphic yeasts of the genus malassezia, leading to hypo or hyperpigmented macular lesions on seborrheic areas of the trunk. Skin manifestations of chronic hepatitis c virus infection in. Pityriasis versicolor is a superficial fungal infection of the stratum corneum, due to dimorphic yeasts of the genus malassezia, leading to hypo or hyperpigmented macular lesions on seborrhoeic areas of the trunk. Tinea pityriasis versicolor is a chronic superficial fungal infection of the skin, affecting the superficial layer of the stratum corneum and generally affecting the trunk or proximal parts of the extremities, caused by the yeast malassezia furfur. Treatment of pityriasis versicolor with topical application. Pdf a 35 year old male presented with atrophic skin lesions on the back, first noticed 2 months before. This fungus is part of the normal skin flora but can cause disease when it converts to its pathogenic hyphal form. Symptoms of pityriasis versicolor patches of skin may be darker or lighter than your normal skin colour, or may be red, brown or pink. The clinical presentation, though very typical, may be confused with other skin disorders. Malassezia species isolated from patients with pityriasis versicolor and to find out any. However, some people are prone to this germ multiplying and spreading on their skin more than usual, which then leads to a rash developing.
Other is scaling provocation test carried out by stretching or scraping ingernails to the lesion to reveal scaling, known as scale evoked sign, a typical sign of pityriasis versicolor. They are also reported as part of the microflora of male genital region, mostly in uncircumcised males. The neck and proximal upper extremities are also frequently affected. The diagnosis of pityriasis versicolor is based on clinical features, microscopic examination or fungal culture. A fine scale was demonstrable when the surface of a lesion was scraped. The other seven are new species discovered during the last decade. Antifungal treatment for pityriasis versicolor mdpi. Isdin presents a bath gel and lotion for daily control and treatment.
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