Pediatric Tinea Versicolor Treatment & Management

Updated: Jan 27, 2020
  • Author: Lyubomir A Dourmishev, MD, PhD; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

Tinea versicolor can be treated with various agents, and skin color alterations usually resolve within a few months of treatment. [9] It does not leave any permanent scars or pigment changes.

Topical therapy alone is indicated for most patients. Systemic treatment is indicated for extensive involvement, for recurrent infections, or when topical therapy has failed. Because treatment is relatively easy and recurrence is common, therapy must be as safe, inexpensive, and convenient as possible. A plan for prophylactic therapy should be discussed with all patients to reduce the high recurrence rate.

Various regimens involve both topical and oral therapies. [10, 11] The most common is varying regimens of selenium sulfide lotion, topical zinc pyrithione, topical benzoyl peroxide, and topical therapy with imidazoles. Oral imidazole therapy is used in adults but less commonly in children. [12, 13, 14]

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Surgical Care

The disease does not require any surgical care.

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Diet

Because studies indicate that tinea versicolor may associate with malnutrition the diet of patients have to be rational and not restrictive.

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Activity

Activity limitations are not necessary. However, active patients who excessively perspire are more likely to develop recurrences.

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Prevention

Tinea versicolor has a high recurrence rate and may require frequent prophylactic treatment with intermittent topical or oral therapy.

Good personal hygiene may help limit recurrences. Specifically, patients should shower as soon as possible after participating in activities or exercise that produce significant perspiration.

Some authors recommend prophylaxsis with varying regimens of selenium sulfide shampoo or lotion.

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Long-Term Monitoring

Tinea versicolor tends to be associated with recurrences that must be properly treated.

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