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Pityriasis versicolor

最后审阅: 18 Aug 2025
最后更新: 23 Oct 2024

小结

定义

病史和体格检查

关键诊断因素

  • presence of risk factors
  • lack of pruritus or pain
  • dyspigmentation
  • macules or patches
  • seborrhoeic distribution
  • fine overlying scale
完整详情

其他诊断因素

  • yellow fluorescence under Wood lamp examination
完整详情

危险因素

  • high ambient temperature and humidity
  • adolescent and young adult age
  • hyperhidrosis
  • systemic corticosteroid or other immunosuppressant use
  • participation in athletics
  • greasy skin
  • family history of PV
  • malnutrition
  • use of oral contraceptives
  • HIV infection and other immunosuppressive conditions
  • use of occlusive ointments or creams
完整详情

诊断性检查

首要检查

  • microscopical examination with potassium hydroxide (KOH) preparation
完整详情

需考虑的检查

  • skin biopsy
  • culture
  • Gram stain
完整详情

治疗流程

急症处理

non-pregnant

pregnant

持续性治疗

recurrent disease after successful pathogen eradication

撰稿人

作者

Brian L. Swick, MD
Brian L. Swick

Clinical Professor

Departments of Dermatology and Pathology

University of Iowa

Iowa City

IA

利益声明

BLS declares that he has no competing interests.

同行评议者

Nnenna Agim, MD, FAAD

Associate Professor of Dermatology

University of Texas Southwestern

Dallas

TX

利益声明

NA declares that she has no competing interests.

Helen Goodyear, MBChB, MRCP, FRCPCH, MD, MMed

Consultant Paediatrician

Heartlands Hospital

Birmingham

UK

利益声明

HG declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Schwartz RA. Superficial fungal infections. Lancet. 2004 Sep 25-Oct 1;364(9440):1173-82. 摘要

Gupta AK, Bluhm R, Summerbell R. Pityriasis versicolor. J Eur Acad Dermatol Venereol. 2002 Jan;16(1):19-33. 摘要

Drake LA, Dinehart SM, Farmer ER, et al. Guidelines of care for superficial mycotic infections of the skin: pityriasis (tinea) versicolor. Guidelines/Outcomes Committee. American Academy of Dermatology. J Am Acad Dermatol. 1996 Feb;34(2 Pt 1):287-9.

参考文献

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