Tinea versicolor features lighter (hypopigmented), flat lesions with a very fine scale.
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 the flat and minimally scaly, well-defined light and dark lesions typical 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.
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 tinea versicolor on the face.
This image displays tinea versicolor on the face.
This image displays tinea versicolor affecting the face and neck.
This image displays tinea versicolor affecting the face and neck.
This image displays a close-up of tinea versicolor.
This image displays a close-up of tinea versicolor.
The subtle scaling can be seen in the spot of tinea versicolor near the earlobe.
The subtle scaling can be seen in the spot of tinea versicolor near the earlobe.
This area of tinea versicolor demonstrates why the name means
This area of tinea versicolor demonstrates why the name means "a variety of colors," displaying lighter areas with faint pink at the edges of the infection meeting normal skin.
This lighter-skinned child displays round, pink patches of tinea versicolor.
This lighter-skinned child displays round, pink patches of tinea versicolor.

Images of Tinea Versicolor (9)

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.
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 tinea versicolor on the face.
This image displays tinea versicolor affecting the face and neck.
This image displays a close-up of tinea versicolor.
The subtle scaling can be seen in the spot of tinea versicolor near the earlobe.
This area of tinea versicolor demonstrates why the name means
This lighter-skinned child displays round, pink patches of tinea versicolor.

Tinea Versicolor

Tinea versicolor, also known as pityriasis versicolor, is a common noncancerous (benign) skin condition caused by surface (superficial) infection with a type of yeast that normally lives on the skin. In the right conditions, such as warm, oily, and moist skin, the yeast (Malassezia) can overgrow and cause a rash, consisting of tan, pink, brown, or white patches. Although it is an infection, tinea versicolor is not contagious, as the yeast normally lives in the skin.

Who's At Risk?

Tinea versicolor can develop in people of all ages, of all races, and of either sex.

However, tinea versicolor is most commonly found in tropical areas with high humidity and high temperatures. In milder climates, teens and young adults are affected most frequently. Tinea versicolor is uncommon in young (pre-pubertal) children or in adults older than 65 years.

Some conditions make tinea versicolor more likely to occur, including:

  • Living in a warm, humid climate.
  • Having oily skin.
  • Sweating frequently or excessively.
  • Being pregnant.
  • Being malnourished.
  • Using corticosteroids (cortisone).
  • Taking medications that weaken the immune system.

Signs & Symptoms

The most common locations for tinea versicolor include:

  • Chest and upper back
  • Upper arms
  • Abdomen
  • Neck
  • Thighs

Tinea versicolor appears as many white, pink, salmon-colored, tan, or brown patches ranging in size from 1–3 cm. The individual lesions can join together to form large patches. Most lesions have a very fine, dust-like outer skin material (scale).

The yeast gives off (secretes) a substance that temporarily bleaches the underlying skin to a lighter color. Even after the infection has gone away, the spots may be visible as lighter (hypopigmented) patches, which may not get their normal color back for many months. Furthermore, these hypopigmented spots do not tan normally. The hypopigmented areas are more obvious in darker-skinned individuals.

Tinea versicolor does not usually cause any symptoms, though some people report minor itching, especially when they get sweaty.

Take a picture of your skin condition with Aysa

Symptom checkers like Aysa can help narrow down possible skin conditions by analyzing a skin photo.

Self-Care Guidelines

If you suspect that your child has tinea versicolor, you might try an over-the-counter antifungal cream such as terbinafine, clotrimazole, or miconazole. An over-the-counter shampoo containing selenium sulfide can be used as a lotion by applying it to the affected areas overnight and rinsing it off in the morning. However, if the condition does not seem to be getting better after 2 weeks of daily treatment, see your child’s doctor or a dermatologist for evaluation.

If your child has been treated for tinea versicolor, he or she should avoid wearing tight, restrictive clothing. Also, sun exposure may make the light-colored areas more apparent, so have your child avoid sun exposure or wear sunscreens until the spots have returned to their normal color.

Advertisement

Treatments

To confirm the diagnosis, the doctor 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, the 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.

Visit Urgency

If the above self-care measures do not work or if your child develops a widespread rash that seems to be getting worse, see the doctor.

Advertisement

References

Bolognia, Jean L., ed. Dermatology, pp.989, 1171-1174. New York: Mosby, 2003.

Freedberg, Irwin M., ed. Fitzpatrick’s Dermatology in General Medicine. 6th ed. pp.2014-2016. New York: McGraw-Hill, 2003.