Pityriasis Versicolor

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It is a common fungal infection caused by yeast

Clinical presentation 

  • Hypo-/Hyperpigmented macules and confluent patches 
  • Lesions have fine scales 
  • Commonly occurs on the chest, back, arms and occasionally neck and face 

Investigation 

  • KOH 

Pharmacological Treatment 

A: clotrimazole cream (topical) 12hourly for 2weeks 

OR 

C: miconazole nitrate cream (topical) 2% 12hourly for 2weeks 

OR 

C: ketoconazole shampoo 3times per week for 4weeks (if extensive) 

AND  

A: fluconazole (PO) 300mg stat 

OR 

D: itraconazole (PO) 200mg 24hourly for 2weeks