pityriasis%20(tinea)%20versicolor%20(pediatric)
PITYRIASIS (TINEA) VERSICOLOR (PEDIATRIC)
Pityriasis (tinea) versicolor is a benign, superficial, common fungal infection localized to the stratum corneum.
It occurs most commonly in postpubertal individuals when the sebaceous glands are the most active.
Facial involvement is common in adolescents, but lesions are also found on the upper trunk, neck, arms, dorsum of the hand and pubis.
Patient presents with erythematous, hypo- or hyperpigmented macules or patches that may have a slight scale.
It is caused by the lipophilic yeast Malassezia furfur.

Pharmacotherapy

  • Condition chronically recurs in predisposed patients despite adequate initial treatment
  • Skin discoloration may take several weeks to resolve after complete treatment

Topical Antifungals

  • Effect: Topical treatments are typically effective in temporarily eradicating the disease

Selenium Sulfide & Imidazoles

  • These agents are equally effective w/ 60-80% recurrence rate

Oral Antifungals

  • Oral therapy is indicated in cases of severe or widespread skin involvement, recurrent infections & failure of topical therapy
  • Oral therapy can be convenient & less time consuming enhancing patient compliance
  • Effect: Infection recurrence may occur less frequently if treated w/ oral antifungals
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