Pityriasis Versicolor-A Narrative Review on the Diagnosis and Management

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dc.article.number2097
dc.catalogadorgrr
dc.contributor.authorLabedz, Nina
dc.contributor.authorNavarrete Dechent, Cristian Patricio
dc.contributor.authorKubisiak-Rzepczyk, Honorata
dc.contributor.authorBowszyc-Dmochowska, Monika
dc.contributor.authorPogorzelska-Antkowiak, Anna
dc.contributor.authorPietkiewicz, Pawel
dc.date.accessioned2023-12-14T20:50:33Z
dc.date.available2023-12-14T20:50:33Z
dc.date.issued2023
dc.description.abstractThis narrative review presents a comprehensive overview of the diagnosis and management of pityriasis versicolor (PV), a common superficial fungal infection caused by the yeast Malassezia. PV is characterised by scaly hypopigmented or hyperpigmented patches, primarily affecting the upper trunk, neck, and upper arms. Regarding commensal interactions, Malassezia utilises nutrient sources without affecting the human host. In cases of pathogenicity, Malassezia can directly harm the host via virulence factors or toxins, or indirectly by triggering damaging host responses. The diagnosis typically relies on recognising characteristic clinical features. Due to the wide variability in its clinical presentation, recognising the differential diagnosis is critical. In this paper, we discuss the clinical differentials, with their dermatoscopic presentation, but also describe a range of helpful diagnostic techniques (microscopy, conventional and ultraviolet-induced fluorescence dermatoscopy, and confocal microscopy). Topical therapies are the primary treatment for PV, encompassing non-specific antifungal agents like sulphur with salicylic acid, selenium sulphide 2.5%, and zinc pyrithione. Additionally, specific topical antifungal medications with either fungicidal or fungistatic properties may also be incorporated into the topical treatment regimen, such as imidazoles, allylamines, and ciclopirox olamine. Systemic therapies might occasionally be used. Patient education and the promotion of good personal hygiene are pivotal to reduce the risk of recurrence. In recurrent cases, particularly during warmer and more humid periods, prolonged prophylaxis with topical agents should be considered.
dc.fechaingreso.objetodigital2023-12-14
dc.format.extent19 páginas
dc.fuente.origenWOS
dc.identifier.doi10.3390/life13102097
dc.identifier.eissn2075-1729
dc.identifier.pubmedid37895478
dc.identifier.urihttps://doi.org/10.3390/life13102097
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/75497
dc.identifier.wosidWOS:001092684200001
dc.information.autorucEscuela de Medicina; Navarrete Dechent, Cristian Patricio; 0000-0003-4040-3640; 156251
dc.issue.numero10
dc.language.isoen
dc.nota.accesoContenido completo
dc.publisherMDPI
dc.revistaLife
dc.rightsacceso abierto
dc.rights.licenseAtribución 4.0 Internacional (CC BY 4.0)
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/deed.es
dc.subjectMalassezia
dc.subjectPitryrosporum
dc.subjectYeast
dc.subjectTinea versicolor
dc.subjectFungal infections
dc.subjectDermatoscopy
dc.subjectUltraviolet radiation
dc.subjectMicroscopy
dc.subjectConfocal microscopy
dc.subjectImaging
dc.subjectTreatment
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titlePityriasis Versicolor-A Narrative Review on the Diagnosis and Management
dc.typeartículo
dc.volumen13
sipa.codpersvinculados156251
sipa.trazabilidadWOS;2023-11-25
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