Diagnosis of tinea versicolor

2021-03-24 12:00 AM

Looking closely, there is a clear limit of the slightly high ridge on the skin surface, slightly high peeling off bran scales (red, high hump, tingling when going to the sun).

Implementing the quadrants

Location:

Neck and arms, chest, back. Mainly 1/2 above.

Basic injury:

Inlaid white (sometimes pink or brownish, dark in colour) like water fern a few mm in diameter, localized pores gradually linked together into a large, zebra-shaped, map, 10 - 20 - 30 cm in diameter.

Looking closely, there is a clear limit of the slightly high ridge on the skin surface, slightly high peeling off bran scales (red, high hump, tingling when going to the sun).

Mechanical symptoms: Itching tingling after going in the sun or sitting in a hot place sweating

Positive fungal culture (difficult to do).

Differential diagnosis

Phong was indeterminate white, loss of sensation, atrophy of the head and limbs muscles, nerve, and hips were sometimes swollen.

Find the Hansen bacillus.

Gibert pink scales: at 1/2 of the upper body, different large and small red and pink patches, mother groups 2 - 4 revolution, clumps of 5mm - 1cm pink, clearly limited saffron, scaly edges, between tend to be slightly hollow, wrinkled.

Vitiligo (Vitiligo)

Pink-white, smooth, 1-5-7 cm diameter, one or several patches on the face, body or limbs, around the edge of the cloud slightly darkened (hyperchromic).

Treatment

Apply one of the following medications:

Light up the ASA alcohol. Afternoon grease Benzosali. 15 - 20 days.

Or Clotrimazol 1% Fat 2 times / day for 20 days.

Cream Lamisil applied in 1 time for 1-2 weeks.

Ketoconazole 200mg oral dose 2 tablets / day x 2 - 4 weeks (Nizoral).