Pityriasis versicolor is a superficial fungal infection of the skin. However, some people are prone to this germ multiplying and spreading on their skin more than usual, which then leads to a rash developing. For this reason, its interest is not just limited to the dermatologist, but. 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. Considering the inconsistent results of these studies, we decided to conduct this comparative study of terbinafine versus ketoconazole for the treatment of pityriasis versicolor. Terbinafin 1% cream and ketoconazole 2% cream in the. Pityriasis versicolor pv is a cutaneous pigmentation disorder caused by a. Most studies carried out in recent years support our hypothesis proposed in 1999 that malassezia globosa is the predominant species in pityriasis versicolor lesions, at least in temperate climates. The genus malassezia comprises lipophilic yeasts belonging to the normal cutaneous microbiota of humans and warmblooded animals, 16 and can be cultured from almost all body areas. The majority of tinea versicolor is caused by the fungus malassezia globosa, although malassezia furfur is responsible for a small number of cases. We report the case of a male patient with extensive pityriasis versicolor that does not.
There are numerous and diverse topical and systemic therapeutic options. Pitiriasis versicolor tratamiento y causas diagnostico. Jamur malassezia furfur sebagai penyebab infeksi pitiriasis versikolor ini. Tinea or pityriasis versicolor is a common fungal skin infection that could cause areas of a persons skin to turn a variety of colors. Susceptibilities of malassezia strains from pityriasis. Treatment and prophylaxis of pityriasis versicolor with oral. These characteristic findings supported the clinical diagnosis of pityriasis versicolor pv.
Patients and methods this is a singleblinded, comparative therapeutic study of 1% diclofenac gel in comparison to 1% clotrimazole cream and aqua rosa cream as a placebo control group in the treatment of pityriasis. Pityriasis versicolor is a common superficial fungal infection of the skin. 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. They tend to develop gradually and may join up to form. Sebaceous glands release a fatty, oily substance called sebum through hair follicles in skin that. 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. It is a common and harmless rash due to the overgrowth of yeasts that live on everyones skin. Pityriasis versicolor pv, also known as tinea versicolor, is caused by malassezia species. Fortytwo patients with pityriasis versicolor were treated with itraconazole. This fungus is part of the normal skin flora but can cause disease when it converts to its pathogenic hyphal form.
The diagnosis of pityriasis versicolor is based on clinical features, microscopic examination or fungal culture. Classically, it begins with a single red and slightly scaly area known as a herald patch. Pityriasis versicolor pv, also known as tinea versicolor, is a common superficial fungal infection of the stratum corneum outer layer of the epidermis resulting from a change to the mycelial filamentous fungus or mould state of dimorphic yeasts of the genus malassezia. It is caused by malassezia, a lipophilic dimorphic fungus. He was treated with intravenous fluconazole for 2 weeks with total resolution of the lesions on followup after 3 months with no postinflammatory hypopigmentation.
Patches of skin may be darker or lighter than your normal skin colour, or may be red, brown or pink. They are also reported as part of the microflora of male genital region, mostly in uncircumcised males. This condition is one of the most common superficial fungal infections worldwide, particularly in tropical climates. Tinea versicolor is a condition characterized by a skin eruption on the trunk and proximal extremities. Itraconazole in pityriasis versicolor clinical infectious.
Although pityriasis versicolor is the only human disease for which malassezia yeasts have been fully established as pathogens, it is still not clear which species are implicated. Aims the aim of this study was to isolate, identify and analyze the distribution of the different species of malassezia in patients with pv in rosario city argentina. Pitiriasis versicolor con maculas eritematosas en tronco fuente. Tinea versicolor ie, pityriasis versicolor is a common superficial fungal infection. Pitiriasis versicolor farmacia profesional elsevier. Symptoms of pityriasis versicolor patches of skin may be darker or lighter than your normal skin colour, or may be red, brown or pink. Pdf treatment of pityriasis versicolour with topical 15%.
Tinea versicolor, tinea nigra, white piedra, and black. Although pityriasis versicolor is the only human disease for which malassezia yeasts have been fully. Remember that the pale areas left after treatment may take several months to. Detection of malassezia species in patients of pityriasis versicolor and seborrheic dermatitis using nestedpcr in dr.
Prevalence of malassezia species in patients with pityriasis. Pityriasis versicolor is a common yeast infection of the skin, in which flaky discoloured patches appear on the chest and back. However, they may become pathogenic under certain conditions and are associated with a broad spectrum of clinical infections as pityriasis versicolor pv, folliculitis, seborrheic dermatitis, some forms of atopic. Tinea versicolor, tinea nigra, white piedra, and black piedra.
The prevalence of malassezia yeast colonization on the glans penis of circumcised males is discussed in multiple studies. Identification of malassezia species isolated from patients with. The person is a child or pregnant woman, where management options are limited in primary care. The term pityriasis is used to describe skin conditions in which the scale appears similar to bran. This is then followed, days to weeks later, by a rash of many similar but smaller round or oval lesions, mainly on the trunk and upper limbs. Pdf penile shaft involvement in pityriasis versicolor.
Piel is a journal oriented towards continuing education in dermatology. Antimalassezia furfur activity of essential oils againt causal agent of pityriasis versicolor disease. Tinea or pityriasis versicolor is a common fungal skin infection that could cause areas of a persons skin to turn a variety of colors malassezia yeasts are the type of fungi that cause tinea versicolor, and they normally live on the skin. It usually lasts less than three months and goes away. Using a medicated shampoo as a bodywash to the trunk from time to time, over several months, cuts down this risk. Patients with this disorder often present with hypopigmented, hyperpigmented, or erythematous macules on the trunk and proximal upper extremities picture 1ae.
Children with skin of color represent a large proportion of the pediatric population. If the area affected is small, ketoconazole or clotrimazole cream can be applied twice daily. Lecba trva obvykle 1014 dnu, pro zabraneni opakovani onemocneni casto preventivne i dele. Pityriasis versicolor, malassezia folliculitis, and seborrheic dermatitis are common skin diseases caused by malassezia. Rapid reversal of hyperpigmentation in pityriasis versicolor upon.
Due to yeast malassezia furfurmultihued patches occurs on skin and causes infectionknown as tinea versicolor t. Unlike other disorders utilizing the term tinea eg, tinea pedis, tinea capitis, tinea versicolor is not a dermatophyte infection. Certain environmental, genetic, and immunological factors can predispose to this pathogenic conversion and contribute to the. The malassezia yeasts are among the normal human cutaneous flora in adults. Pityriasis versicolor pv is a chronic cutaneous fungal infection caused by proliferation of lipophilic yeast malassezia species in the stratum corneum 1,2. Pityriasis versicolor pv is an infection caused by various species of malassezia yeast. The multiple colours of pityriasis versicolor give rise to the second part of the name, versicolor. Longterm oral antifungal prophylaxis may be needed for recurrent or severe episodes of pityriasis versicolor.
Pdf teknikuji provokasi skuama pada pitiriasis versikolor. Psoriasis is a dermatosis, the pathogenesis of which is characterized by activation of the helper t cell t h subpopulations t h 1 and t h 17 and the expression of inflammatory mediators such as interleukins and antimicrobial peptides involved in fighting infection. Penatalaksanaan pitiriasis versikolor universitas udayana. These lipophilic yeasts are associated with various human diseases, especially pityriasis versicolor pv, a chronic superficial scaling dermatomycosis. Treatment and prophylaxis of pityriasis versicolor with. Pityriasis versicolor is a disease process that occurs when the yeast, malassezia a component of normal skin flora, changes to its hyphal form and causes pigmentary changes. Original article treatment of pityriasis versicolor using 1% diclofenac gel and clotrimazole cream comparative therapeutic study khalifa e.
Pityriasis versicolor, sometimes called tinea versicolor, is a common fungal infection that causes small patches of skin to become scaly and discoloured. There are numerous skin conditions that commonly occur in this population, including but not limited to acne, atopic dermatitis, pityriasis alba, tinea versicolor, progressive macular hypomelanosis, traction alopec. It is essential for dermatologists to recognize it and offer an appropriate treatment. Small numbers of the malassezia germs that causes pityriasis versicolor commonly live on the skin and do no harm. Pitiriasis versicolor ditinjau dari aspek klinis dan mikrobiologis. Epidemiological characterization of pityriasis versicolor and distribution of malassezia species among students in hai phong. Doc 143971219pitiriasisversikolorprint yunandia wati. Pityriasis versicolor is one of the most frequent fungal cutaneous infections. Infeksi ini bersifat menahun, ringan dan biasanya tanpa peradangan. Kelainan kulit pada pitiriasis versikolor sangat superfisial dan ditemukan terutama di badan berupa bercak warna warni. Education practice practice pointer pityriasis versicolor.
Malassezia yeasts are the type of fungi that cause tinea versicolor, and they normally live on the skin. Pityriasis means a type of fine skin scaling, and versicolor means changing colour. Sebaceous glands release a fatty, oily substance called sebum through hair follicles in skin that provides nutrients necessary for the yeasts to survive. Mar 17, 2021 what is pityriasis versicolor and what causes it. Treatment of pityriasis versicolor using 1% diclofenac gel. Most studies carried out in recent years support our hypothesis proposed in 1999 that malassezia globosa is the predominant species in pityriasis versicolor. 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. Pityriasis versicolor and the yeasts of genus malassezia. Patients were allocated randomly to one of two groups. These yeasts, called malassezia, are not related to yeast in food or to those that cause thrush.
Pitiriasisversicolor condicion cronica epidemiologia. These yeasts are normally found on the human skin and become troublesome only under certain circumstances, such as a warm and humid environment. Scribd is the worlds largest social reading and publishing site. It is caused by malassezia, a lipophilic dimorphic fun gus. The person is immunocompromized, depending on clinical judgement. Pityriasis versicolor symptoms, diagnosis and treatment. Pityriasis versicolor can be diagnosed by clinical signs, woods lamp luorescence, and koh examination on skin scrapings. Pitiriasis versicolor author links open overlay panel l. Pitiriasis versicolor diagnostico y tratamiento mayo clinic. The rash of pityriasis versicolor often comes back. About 20% of cases show atypical deviations from this pattern. No specific cultures or polymerase chain reaction techniques were performed.
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