Tinea versicolor is a common skin rash caused by an overgrowth of a skin surface yeast.

This overgrowth results in uneven skin color and scaling that can be unsightly and sometimes itch. It is harmless and not contagious.

The yeast is normally present in small numbers on everyone's skin, so anyone can develop an overgrowth of yeast.

The rash has small, scaly white-to-pink or tan-to-dark spots which can be scattered over the upper arms, chest and back. The spots rarely appear on the face. The yeast prevents the skin from tanning normally. Occasionally the rash is itchy.

Treatment:
Tinea versicolor is treated with topical or oral medications. Topical treatment includes special soaps, shampoos, creams, or lotions applied directly to the skin.

Oral medications can also treat tinea versicolor. Because of possible side effects, or interactions with other medications, the use of oral medicines should be supervised by your doctor. Even after treatment the uneven color of the skin may remain for several months. It can take several months for your skin to regain its color even when you are successfully treated.

Treatment Options:

• Topical Shampoos/lotions ( Selenium sulfide 2.5%, Selsun Blue , DHS Zinc, Head and Shoulders, Nizoral shampoo). Apply the topical shampoo from the neck to the waist, including the arms and other involved areas. Allow the shampoo to dry and leave it on for 10 minutes before showering. Repeat this for 14 consecutive days.
• Antifungal creams and sprays (Miconazole cream, Lamisil cream, Lamisil spray). Apply 2 times a day for 14-21 days to the affected areas.
• Systemic Treatment ( oral Ketoconazole, oral Itraconazole). Take as directed
• Other_________________________________________

Recurrence
Tinea versicolor may recur. Using a special soap, such as ZNP Bar may decrease recurrent episodes.
Use the ZNP Bar weekly on your skin to help prevent recurrences.

It's important to remember that the yeast is easy to kill, but it can take weeks or months for the skin to regain its normal color.