Tinea versicolor features lighter (hypopigmented), flat lesions with a very fine scale.  This image displays the flat and minimally scaly, well-defined light and dark lesions typical of tinea versicolor. Tinea versicolor is a yeast infection, typically on the upper chest and back, which includes widespread areas of color change that are slightly scaly. This image displays tinea versicolor on the face. This image displays tinea versicolor affecting the face and neck. This image displays a close-up of tinea versicolor. The subtle scaling can be seen in the spot of tinea versicolor near the earlobe. This area of tinea versicolor demonstrates why the name means "a variety of colors," displaying lighter areas with faint pink at the edges of the infection meeting normal skin. This lighter-skinned child displays round, pink patches of tinea versicolor.
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Picture of Tinea Versicolor: Tinea versicolor features lighter (hypopigmented), flat lesions with a very fine scale.  Divider line
Tinea versicolor features lighter (hypopigmented), flat lesions with a very fine scale.
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Treatments Your Physician May Prescribe
To confirm the diagnosis, the doctor might scrape some of the surface skin material (scales) onto a glass slide and examine them under a microscope. This procedure, called a KOH (potassium hydroxide) preparation, allows the doctor to look for tell-tale signs of yeast infection.

Once a diagnosis of tinea versicolor has been confirmed, the physician may recommend one of the following treatments:
  • Selenium sulfide lotion (or shampoo, which can be used as a lotion and then rinsed off)
  • Pyrithione zinc shampoo (used as a lotion and then rinsed off)
  • Antifungal cream or lotion such as ketoconazole, econazole, oxiconazole, or ciclopirox
  • Antifungal pills such as ketoconazole, fluconazole, or itraconazole
Return of the infection (recurrence) is common. Because some people are more likely than others to get the infection, the doctor may recommend a preventive or maintenance treatment to use during the warmer, more humid months, consisting of antifungal cream, lotion, or shampoo, applied every week or two.

Last Modified: 29 Jan 2008
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