What is the best way to treat tinea versicolor?

Skin diseases are very common symptoms in life. Although their impact on people's bodies is not as severe as other diseases, they can still have a very great impact on the body. Skin diseases mainly cause people to feel constant itching. Some skin diseases also cause symptoms such as skin ulcers, which are very harmful. For example, tinea versicolor is a relatively serious skin disease. Let's take a look at how to best treat tinea versicolor?

Pityriasis versicolor , formerly known as tinea versicolor, commonly known as sweat stain, is a superficial fungal disease caused by Malassezia infecting the stratum corneum of the epidermis. The disease is chronic, with mild inflammation and usually no symptoms. The lesions are characterized by scattered or fused hypopigmented or hyperpigmented macules with bran-like desquamation, which often occur on the chest, back, upper arms, axillae, and sometimes on the face. The initial lesions are circular punctate macules surrounding the pores, which gradually increase to the size of a nail plate with clear edges. Adjacent areas may merge into large irregular patches, with new macules appearing around them. The surface is covered with a small amount of bran-like scales that are easily peeled off, ranging from gray, brown to yellow-brown, and sometimes multiple colors coexist, resembling spots. The longer the time, the lighter the spots. The rash has no inflammatory reaction and occasionally causes mild itching. The lesions often occur on the chest and back, but may also affect the neck, face, armpits, abdomen, shoulders and upper arms. It is generally more common in young and middle-aged men. The course of the disease is chronic, with the rash decreasing or disappearing in winter but recurring in summer.

1. For external use , 2% ketoconazole lotion can be used for 7 to 10 days; 2% selenium disulfide lotion can be used for 7 to 19 days. For patients with smaller areas or those who cannot take oral antifungal drugs for various reasons, 1% bifonazole cream/gel, 2% miconazole cream, 2% ketoconazole cream, or 2% econazole cream can be given for external use, all of which have good therapeutic effects. Allylamine antifungal drugs such as terbinafine, butenafine, and naftifine are also effective. Amorolfine and ciclopirox olamine, as new antifungal drugs, can also be used in the treatment of pityriasis versicolor. Since pityriasis versicolor is difficult to cure and is prone to relapse, intermittent repeated use of medication can help eradicate it. Sometimes you can first clean it with a lotion and then apply topical medication to improve the efficacy.

2. Systemic treatment For patients with large areas or recurrent attacks, oral azole drugs such as itraconazole, ketoconazole, and fluconazole can be given.

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