Tinea Versicolor Referral Guidelines

When to Initiate Referral

  • Lack of response to therapy after 2 months
  • Severe or widespread eruption

Treatment Basics

  • Caused by the lipophilic Malassezia yeast species (part of the normal microflora of the skin)
  • Tends to occur more frequently in tropical climates
  • Associated with sebaceous gland activity (so more frequently seen in post- pubertal adolescents and adults)
  • Recurrences are common
  • Skin dyspigmentation can last months after condition treated

Treatments Include

  • Ketoconazole 2% shampoo or over-the-counter selenium sulfide shampoo applied to affected areas daily until clear (left on for 5 minutes prior to rinsing)
  • Topical antifungal creams such as ketoconazole 2% cream or over-the-counter clotrimazole cream once to twice daily until clear