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
其他诊断因素
- yellow fluorescence under Wood lamp examination
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
诊断性检查
首要检查
- microscopical examination with potassium hydroxide (KOH) preparation
需考虑的检查
- skin biopsy
- culture
- Gram stain
治疗流程
non-pregnant
pregnant
recurrent disease after successful pathogen eradication
撰稿人
作者
Brian L. Swick, MD

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
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
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Vitiligo
- Tinea corporis
- Seborrhoeic dermatitis
更多 鉴别诊断指南
- Guidelines of care for superficial mycotic infections of the skin: pityriasis (tinea) versicolor
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