Tinea versicolor can cause widespread, lighter lesions (hypopigmented).  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. This image displays widespread, slightly elevated lesions due to a severe case 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 widespread, slightly elevated, scaly lesions on the back. This image displays darkened, fine, scaling lesions that are flat on the surface of the skin. This image displays a typical location of tinea versicolor, the bend in the elbow. This image displays multiple circular, lighter, slightly scaling areas running into each other typical of tinea versicolor. Tinea versicolor typically causes areas of skin lightening or darkening with very sharp borders between the color changes, as displayed in this image. Tinea versicolor can present with dark flat areas, as seen in this patient, or areas of lighter skin lesions. Tinea versicolor extends from the trunk to the neck in this young man.
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Tinea Versicolor  Information for adults

Picture of Tinea Versicolor: Tinea versicolor can cause widespread, lighter lesions (hypopigmented).  Divider line
Tinea versicolor can cause widespread, lighter lesions (hypopigmented).
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Treatments Your Provider May Prescribe
To confirm the diagnosis, your physician 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, your 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: 22 Dec 2008