Pediatric Tinea Versicolor Treatment & Management
- Author: Lyubomir A Dourmishev, MD, PhD; Chief Editor: Dirk M Elston, MD more...
Tinea versicolor can be treated with various agents, and skin color alterations usually resolve within a few months of treatment. 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. 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.[9, 10, 11]
The disease does not require any surgical care.
Because studies indicate that tinea versicolor may associate with malnutrition the diet of patients have to be rational and not restrictive.
Activity limitations are not necessary. However, active patients who excessively perspire are more likely to develop recurrences.
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