PDF(Pubmed)
Abstract：
Pityriasis versicolor (PV) also referred to as Peter Elam\'s disease or tinea versicolor is caused by the Malassezia species which is a chronic-relapsing widespread mycosis. The most common sites involved are the shoulders, upper arms, back, upper trunk, and chest. Atrophying PV is a very rare variant that has rarely been reported in the Indian literature. Hence, in this case report, a 29-year-old male presented with chief complaints of multiple asymptomatic, light-colored lesions over his chest, shoulder, and arms for three months. On examination, multiple well-defined hypopigmented macules of varying sizes with fine scales were observed on the patient\'s chest, shoulders, and arms. Dermoscopic examination revealed nonuniform perifollicular hypopigmentation with clearly demarcated borders, patchy scaling, and inconspicuous ridges and furrows. Moreover, a histopathological examination was performed that reported flattening of rete ridges along with fungal hyphae and spores which consequently confirmed the diagnosis. The medical intervention with antifungal agents was prescribed by the dermatologist, after which the lesion was completely resolved and the follow-up period reported no recurrence of the lesions demonstrating positive outcomes. In conclusion, diagnosing atrophic PV which is a rare variant of PV can be challenging. Hence, accurate diagnosis along with appropriate and adequate intervention can lead to the resolution of the condition and can prevent its recurrence.
摘要：
花斑癣（PV）也称为彼得·埃拉姆氏病或花斑癣，是由马拉色菌引起的，是一种慢性复发性广泛的真菌病。最常见的部位是肩膀，上臂,回来,上树干,和胸部。感染PV是一种非常罕见的变体，在印度文献中很少报道。因此，在这个案例报告中,一名29岁的男性出现多重无症状的主要投诉，他胸部的浅色病变,肩膀,和武器三个月。在检查中，在患者的胸部观察到多个清晰的不同大小的低色素斑，肩膀,和手臂。皮肤镜检查显示毛囊周围色素沉着不均匀，边界清晰，斑驳的鳞屑,和不显眼的脊和沟。此外，进行了组织病理学检查，报告了网状脊的扁平化以及真菌菌丝和孢子，因此证实了诊断。抗真菌药物的医学干预是由皮肤科医生规定的，之后,病变完全消退,随访期间报告未出现病变复发,显示阳性结局.总之,诊断萎缩性PV是PV的罕见变体可能具有挑战性。因此，准确的诊断以及适当和充分的干预可以导致病情的解决，并可以防止其复发。
