Tinea Versicolor: Treatment Duration and Expectations - Dermatology

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The skin is very pale..?


About 2.3 years ago, I noticed a white patch on my skin.
I didn't pay much attention to it, but recently I went to see a doctor.
The doctor said it was tinea versicolor.
He prescribed me some medication, but it's been over a month, and it still hasn't improved.
When will it get better? Is it because I've had it for too long that it won't heal?

Xiao Wei, 20~29 year old female. Ask Date: 2006/09/16

Dr. Huang Ruiyun reply Dermatology


If it is tinea versicolor, even after treatment, the affected areas may still appear lighter temporarily.
This does not indicate that the condition has not improved; it is likely just that the skin tone has not yet returned to normal.
It should resolve after one winter.

Reply Date: 2006/09/16

More Info


Tinea Versicolor, commonly known as "sweat spots" or "pityriasis versicolor," is a fungal skin condition caused by an overgrowth of yeast that is normally found on the skin. This condition leads to discolored patches on the skin, which can be lighter or darker than the surrounding skin, often appearing on the back, chest, and arms. The treatment for Tinea Versicolor typically involves topical antifungal medications, such as ketoconazole or clotrimazole, and in some cases, oral antifungal medications may be prescribed for more severe cases.

In your situation, it sounds like you have been using a topical treatment for over a month without significant improvement. It is important to understand that the duration of treatment can vary based on several factors, including the severity of the condition, the specific antifungal agent used, and individual skin response. Generally, many patients may start to see improvement within a few weeks, but complete resolution can take longer, especially if the patches have been present for an extended period.

If you have been treating the condition for more than a month and have not noticed any improvement, it may be time to follow up with your healthcare provider. They can reassess your condition and determine whether the current treatment is appropriate or if a different approach is needed. Sometimes, the fungus can be resistant to certain antifungal agents, or the diagnosis may need to be reconsidered if the treatment is not effective.

Additionally, it is important to maintain good skin hygiene and avoid factors that can exacerbate the condition, such as excessive sweating, oily skin, or hot and humid environments. Wearing loose-fitting clothing and using non-comedogenic skin products can also help manage symptoms.

In summary, while Tinea Versicolor can be persistent and may take time to resolve, it is crucial to communicate with your healthcare provider if you do not see improvement after a month of treatment. They can provide further guidance, possibly adjust your treatment plan, and help you understand what to expect moving forward. Remember, patience is key, but also ensure that you are receiving the appropriate care for your condition.

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