Varied Presentations of Tinea Versicolor: Case 4 Long-standing Tinea Versicolor

March 2, 2004
Raymond Kuwahara, MD

A 32-year-old African American man presented with an asymptomatic rash of 10 years’ duration.The patient reported that eruption abated during the winter.

A 32-year-old African American man presented with an asymptomatic rash of 10 years' duration.The patient reported that eruption abated during the winter.Tinea versicolor is often mistaken for vitiligo, which is more stable and does not producescales. Heat and humidity can exacerbate this condition; thus, the rash typically resolves duringthe winter and worsens during thesummer.This patient followed a daily regimenof applying ketoconazole shampooto his body, leaving it on for10 minutes, then rinsing. Systemic antifungalagents are also effective; oralketoconazole can be used in recalcitrantcases.

(Case and photograph courtesy ofDr Raymond Kuwahara.)

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