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Chapter 10: Tinea Versicolor

INTRODUCTION

KEY POINTS

  • Tinea versicolor can be localized or widespread and most commonly presents on the trunk but can also present on the face.

  • In lighter skin types, it tends to present as pink to salmon-colored scaly patches, while in darker skin, it is also scaly but can vary in color from being hyperpigmented and gray to hypopigmented.

image

FIGURE 10-1.

Tan macules and large patches on the anterior trunk of a White man. (Reproduced with permission from Wolff K, Johnson RA, Saavedra AP, et al. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 8th ed. New York, NY: McGraw Hill; 2017, Figure 26-18.)

A patient with very light skin coloring with large light brown patches and some smaller macules on the mid to upper anterior trunk.
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FIGURE 10-2.

Hyperpigmented, gray, scaly confluent patches on the back of a Black man. (Reproduced with permission from Wolff K, Johnson RA, Saavedra AP, et al. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 8th ed. New York, NY: McGraw Hill; 2017, Figure 26-20.)

A patient with dark brown skin with large grey, scaly patches spread across the back.
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FIGURE 10-3.

Diffuse hypopigmented macule and patches on the back of a White person. (Reproduced with permission from Wolff K, Johnson RA, Saavedra AP, et al. Fitzpatrick’s Color Atlas and Synopsis of Clinical Dermatology, 8th ed. New York, NY: McGraw Hill; 2017, Figure 26-19.)

A patient with light brown skin with Hypopigmented lighter brown macules and patches spread across the back.
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FIGURE 10-4.

Nummular pink macules, patches, and plaques with minimal overlong scale on the anterior trunk. (Reproduced with permission from Kane KS, Nambudiri VE, Stratigos AJ. Color Atlas & Synopsis of Pediatric Dermatology, 3rd ed. New York, NY: McGraw Hill; 2017, Figure 21-17.)

A patient with several Circular, pink macules, patches and plaques on the mid anterior trunk.
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FIGURE 10-5.

Small hypopigmented macules clustered along the chin and jawline. This location is a less common site for tinea versicolor. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 6-38.)

A patient with brown hypopigmented macules along the chin and the jawline.
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FIGURE 10-6.

Hypopigmented macules along the jawline of a young person. (Reproduced with permission from Prose NS, Kristal L. Weinberg’s Color Atlas of Pediatric Dermatology, 5th ed. New York, NY: McGraw Hill; 2017, Figure 6-40.)

A patient with light brown Hypopigmented macules and patches along the jawline of a person.
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FIGURE 10-7.

Hypopigmented macules coalescing into patches on the anterior trunk of a male with medium brown skin. (Reproduced with permission from Kang S, Amagai M, Bruckner AL, et al. Fitzpatrick’s Dermatology, 9th ed. New York, NY: McGraw Hill; 2019, Figure 76-14.)

The image shows a photograph depicting scaly, hypopigmented macules of tinea versicolor involving skin over both clavicles of the patient.
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FIGURE 10-8.

Hypopigmented patches on the back of a Latino man, which can be confused with other disorders of hypopigmentation and depigmentation, including hypopigmented mycosis fungoides and vitiligo, respectively. (From Usatine RP, Smith ...

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