Tinea Versicolor, (White Spots) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
This book describes Tinea Versicolor, Diagnosis and Treatment and Related Diseases
Tinea versicolor is a frequent medical skin disorder in which flaky discolored patches appear mainly on the chest and back.
Tinea versicolor is a long-term (chronic) fungal infection of the skin.
It is sometimes called Pityriasis versicolor, although the name 'tinea' should strictly mean an infection with a dermatophyte fungus.
It is caused by the growth of the lipophilic yeast micro-organism, Malassezia furfur (Pityrosporum orbiculare in its yeast-like form) that forms part of the normal flora of the human skin.
Normally Malassezia species. grows sparsely in the seborrheic areas (scalp, face and chest) without causing a rash.
14 different species of Malassezia species have been identified.
Causes
Tinea versicolor appears fairly frequently on the skin.
It is caused by a type of fungus called Pityrosporum ovale.
This fungus is normally found on human skin.
It only produces a disorder in certain situations:
1. The condition is most frequent in adolescent boys and young adult men.
2. It normally happens in hot climates.
Symptoms
It normally has an insidious onset and sometimes it may take several months before it is observed.
Macular lesions and patches of altered pigmentation are seen primarily on the body.
These skin spots often extend to the neck, upper arms and abdomen and can sometimes occur at other sites.
The fungal spot has a superficial scale which is easily seen by scraping the surface with a finger nail.
In darker skins or heavily tanned people, the lesion shows de-pigmentation (known as Tinea versicolor) and is less likely to feel itchy.
Tinea versicolor is not infectious.
Diagnosis
Skin scale samples can be taken to determine the nature of the skin disease.
They have a 'spaghetti and meatball' appearance on potassium hydroxide wet-mount examination.
It is easier to show the yeasts in scrapings taken from the brown type of Tinea versicolor than from the white type.
Microscopy is documented as positive if hyphae and yeast cells are seen.
Culture is frequently negative because the yeasts are quite difficult to be grown in a laboratory.
The doctor will evaluate a skin scraping under a microscope to look for the fungus.
Treatment
Tinea versicolor should be treated initially with topical antifungal, particularly topical imidazoles - e.g., clotrimazole, econazole, miconazole, and ketoconazole in various formulations (creams or shampoos).
Ketoconazole shampoo (Nizoral) should be used on affected areas and made into lather, then left for three to five minutes before cleaning it off.
This should be done every day for five days.
Selenium shampoo can be applied as an alternative (its use is not licensed).
Selenium shampoo should be diluted with water (to decrease the tendency of irritation).
It is applied to affected areas for ten minutes and then washed off.
This should be done every day for ten days.
In widespread or resistant cases itraconazole 200 mg daily is given for seven days
TABLE OF CONTENT
Introduction
Chapter 1 Tinea Versicolor
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Vitiligo
Chapter 8 Hypo-pigmentation skin
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Tinea Versicolor, (White Spots) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Tinea Versicolor,
(White Spots)
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2015 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes Tinea Versicolor, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What The patient Need to Treat Tinea Versicolor)
This eBook is licensed for your personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Disorder) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Disorders
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 800 eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical disorders.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring the patient the latest information about a disorder or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Tinea versicolor
Tinea versicolor is a frequent medical skin disorder in which flaky discolored patches appear mainly on the chest and back.
Tinea versicolor is a long-term (chronic) fungal infection of the skin.
It is sometimes called Pityriasis versicolor, although the name ‘tinea’ should strictly mean an infection with