A Teenage Boy with an Unsightly Rash
The young man is missing school because he is self-conscious about the hypopigmented lesions on his arms, back, and chest. Can you make the diagnosis?
The teen is otherwise healthy. See what you make of the history and images. A full discussion of the diagnosis and effective treatment follows the differential--and your diagnosis.
References:
Single dose ketoconazole for tinea versicolor. The Prescribers Letter. February 2004; Vol. 20 No. 200208.
American Academy of Dermatology. Tinea versicolor. Accessed on July 29, 2015 and available at: https://www.aad.org/dermatology-a-to-z/diseases-and-treatments/q---t/tinea-versicolor
Burkhart CG. Tinea versicolor. Accessed on July 29, 2015 and available at http://emedicine.medscape.com/article/1091575-overview
Wahab MA, Ali ME, Rahman MH, et al. Single dose (400 mg) versus 7 day (200 mg) daily dose itraconazole in the treatment of tinea versicolor: a randomized clinical trial. Mymensingh Med J. 2010;19:72-76.
Lebrikizumab Demonstrates Efficacy, Safety in Patients With Skin of Color With AD
June 11th 2025RAD 2025. Lebrikizumab improved skin clearance, itch, and pigmentation in patients with skin of color and atopic dermatitis, with strong safety data through 24 weeks, according to late-breaking data.
