Top 10 Questions about Pityriasis Versicolor that Everyone Should Know


12.06.2019
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Versicolor is one of the most common fungal diseases, more common in adolescents and adults, less often in children and the elderly. A distinctive feature – large brown spots on various parts of the body. The interviewed patients complain more about an aesthetic problem, as many are embarrassed to appear in public with such spots, visit public places, baths, saunas, and even walk to the beach.

Answers on Questions

Today we want to answer the 10 most common questions that ask people suffering from multi-colored lichen:

  • Is the pityriasis versicolor contagious? Medically yes, it is contagious. But, it is necessary to carefully study the statistics, which states that in families where there is a patient with multiple-colored lichen, this disease is very rarely diagnosed in his relatives. Even despite close household contact, VC is considered a low-contagious fungal disease. It has been proven that disease intensification is promoted by strong hypothermia, changes in the chemical composition of sweat, and the presence of concomitant diseases (diabetes, seborrhea, etc.).
  • How long is the incubation period? It is not fully understood, but dermatologists are of the opinion that from the moment of activation of the fungus Pityrosporum orbiculare, it usually takes from two weeks to several months.
  • How to recognize the first signs? In most cases, it is preceded by the appearance of yellow-brown spots on the chest, back or underarms. After a few days, the dots may increase in size and merge with each other into one large brown lesion. Very often the spots appear on the background of tanning.
  • Where are the spots most often located? In 80% of cases, the spots are located on the stomach, back, shoulders and axillae. Less commonly, they can be found on the hands, feet or genitals. More rarely on the face or scalp.
  • What color is the stain? In 90% of cases, the spots with lichen colored brown. There are also yellowish-brown and pink hues. Closer to recovery stains completely discolor.
  • How to recognize pityriasis versicolor? An experienced doctor will be sufficiently acquainted with the clinical picture in order to make an accurate diagnosis. In some cases, they resort to microscopic examination, examination of lesions under the Wood’s lamp or staining of stains with iodine solution or aniline dyes. Under the lamp, if the diagnosis is confirmed, a yellow-orange or brown-dark glow will be visible. After staining of spots in the case of the presence of RL, the difference in staining of the skin in places of localization of stains and healthy skin areas will be visible.
  • How to cure pityriasis versicolor quickly? Most dermatologists claim that pityriasis versicolor is not a serious disease and you can get rid of it very quickly without using a large number of drugs. Success will depend on the timeliness of the treatment initiated and the individual characteristics of the patient. Good feedback has been received using salicylic acid and boric alcohol, which lubricates the lesions for 10 days. For the treatment of hair shampoos based on ketoconazole are used.
  • Do I need to drink pills with pityriasis versicolor? This is up to the attending physician, as he can determine the need for systemic treatment on the basis of an on-site inspection and studies performed. In 80% of cases, it is possible to do with local preparations, and systemic therapy is resorted to with constant relapses or the ineffectiveness of using ointments and shampoos. Systemic treatment includes the use of ketoconazole, fluconazole and itraconazole. Effective regimen: double intake of Fluconazole 300 mg with an interval of 10 days. The effect persists for almost a year.
  • Is it possible to treat heart failure during pregnancy and breastfeeding? It is highly desirable that all therapeutic measures be carried out several months after childbirth and HGB in order not to harm the baby, since 90% of antifungal drugs have contraindications for pregnant women.
  • Do I need to boil things during the treatment of NL or why are there relapses? Experienced dermatologists claim that with a multi-colored lichen, it is enough to observe the elementary rules of personal hygiene and it is not necessary to boil, iron and disinfect the patient’s things. Relapses are observed quite often, but their appearance is due to a sharp decrease in immunity or severe hypothermia.

Photo of Pityriasis Versicolor

Some Tips

If you or your loved ones still have to deal with the color lichen, we really hope that our advice will be useful to you and you will find all the answers to your questions.

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