Pityriasis versicolor
Last Updated: 2022-02-25
Author(s): Anzengruber F., Navarini A.
ICD11: 1F2D.0
Last Updated: 2022-02-25
Author(s): Anzengruber F., Navarini A.
ICD11: 1F2D.0
Eichstedt 1846.
Pityriasis versicolor flava, pityriasis versicolor alba, pityriasis versicolor rubra, tinea versicolor (term no longer in use)
Common, benign, non-inflammatory and non-infectious superficial mycosis caused by lipophilic yeasts of the genus Malassezia with increased incidence during warm seasons, in adolescents and young adults with localisation on the trunk. The eponymous colour change after UV exposure is characteristic.
PAS staining is essential for detection! Intracorneal spores and hyphae can be found.
It is a chronic condition with remission or exacerbation possible at any time. Recurrences are common.
Therapy according to Lebwohl
Medicine of 1st choice | Evidence level according to Lebwohl |
Ketoconazole | A |
Bifonazole | A |
Terbinafine | A |
Clotrimazole | A |
Econazole | A |
Oxiconazole | A |
Butenafine | A |
Ciclopirox | A |
Fluconazole shampoo | A |
Selenium sulphide 2.5% | B |
Tioconazole | B |
Zinc pyrithione | B |
Medicine of 2nd choice | Evidence level according to Lebwohl |
Itraconazole | A |
Ketoconazole | A |
Fluconazole | A |
Oral prophylaxis | |
Itraconazole | A |
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