Articles, Blog

How To: Treat and Prevent Tinea Versicolor with Water’s Edge Dermatology

August 12, 2019


It will be persistent if you don’t treat it and it takes several weeks of treatment to get it to resolve Tinea versicolor is are very common fungal infection that we see here in Florida. It’s caused by a fungus called malassezia furfur, and the fungus actually causes a hypopigmentation or lightening of the skin. It also causes a little bit of scale on the skin. The fungus will be on a surface that our skin comes directly in contact with when we don’t have clothing, and we get that fungus on the skin. Just a small area, and then it starts to grow on the skin. And then what happens is, we go in the shower, we dry off with a towel and we start to push the fungus over the surface of the skin. So over time, you get increasing sizes of the hypopigmentation, or lightening of the skin. You’d want to see a specialist if you started to notice the hypopigmentation was becoming more noticable for cosmetic purposes. You’d also want to see the specialist if you developed some scaling and some of the itching and the other symptoms that we see. We treat the patient depending on the
extent of the disease, either topically or topically with an
oral medication. Topically, we tend to use an anti-fungal medicine. And we like to use ketoconazole shampoo, which is an anti-fungal shampoo, but we don’t use it as a shampoo on the
skin where the yeast exists. Where the fungus exists, we use it as a body wash, and we have the patient place it on the
skin for one to two minutes. We let it sit there and then they wash
it off, and we typically have them do that for about two to three weeks. That will get rid of the fungus and allow the skin color to come back to normal and resolve the symptoms of itching and
scaling. If it’s a more extensive disease process, we’re involving a greater portion of the body, or if it doesn’t respond to the topical medications, we use an oral medication called fluconazole, which the patient takes for seven days. The other thing that we like to advise the patients to do while they’re going through the treatment is that any clothing that comes into direct contact with the skin needs to be worn one time and then washed. And bath towels are to be used one time and then washed. If not, the yeast will exist on those surfaces and you’ll just re-implant it on the skin. We can actually cure this, the problem is, patients tend to pick this up in public places that they frequent, like a gym. So they are re-exposed, so typically we’ll tell patients to treat themselves prophylactically with the ketoconazole shampoo on their skin once or twice a month each month so they don’t get the symptoms and the clinical findings.

46 Comments

  • Reply dspot8 November 4, 2014 at 9:16 pm

    Is the Ketoconazole for the Tinea Versicolor, the over the counter form, or is it the 2% form?

  • Reply Tom Fong April 18, 2015 at 1:39 am

    I've had this for YEARS and this doctor is right when he says it is persistent. I've been able to put up with it for awhile, but only just recently have I noted the pigmentation (no scaling, thank goodness). I'll have to give the shampoo solution a try.

  • Reply Stud Muffin June 10, 2015 at 1:18 am

    @WatersEdgeDerm
    I really shouldn't be telling you this but my doctor prescribed Betadine shampoo, oral medication, and a cream. Huge portions of my face are way lighter – like people think I'm bleaching.. serious – on the light parts would have even lighter spots.
    The spots would go away when medication is used.. sigh but not the huge lighter portions on BOTH sides of my face. When I'm in the sun – everything looks normal tho. Quick question: how often do I need to the shampoo? And will my FACE be ONE color again??

  • Reply lilac819 June 15, 2015 at 9:39 am

    I've been researching online and I heard it's not contagious or spreadable.

  • Reply BeEazy July 17, 2015 at 5:55 am

    I've been using 1% Selenum Sulfide Selsun Blue for about two weeks now and I've sen no change in pigmentation. Any help?

  • Reply Christopher Blair September 7, 2015 at 8:10 am

    If the shampoo isn't working try lathering it on like lotion, letting it dry, then sleeping with it on you. Wash it off in the morning. In a week or 2 it should be cleared up. CAUTION don't use menthol based dandruff shampoo as menthol will burn/irritate your skin. Look for a tan shampoo.

  • Reply Mark Renegade December 30, 2015 at 4:41 pm

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  • Reply Emma Peel January 6, 2016 at 4:27 pm

    I have been plagued by Tinea Versicolor for about 15-20 yrs. It has completely ruined my complexion. I've tried all sorts of solutions and treatments, and it just won't go away. It's improved on my face, but worsened in other places. It's become a total quality of life issue for me.

  • Reply reb1138 May 5, 2016 at 9:42 pm

    Is it possible to become immune to the Ketaconazole? back when I first got TV it worked right away, but these days it doesn't get rid of all the spots on my neck for example.

  • Reply Kristine J May 8, 2016 at 8:09 pm

    im using a ketoconazole cream, it is good or not?

  • Reply Bougie B May 23, 2016 at 9:27 pm

    i am darkskin and have it.. but mines is darker than my
    surrounding skin please help?!!!!!!!!!

  • Reply Ōsmān MS May 25, 2016 at 1:39 am

    I do sports and I sweat really bad. About 2 years ago I went to the dermatologist and she gave me ketaconizole shampoo and some pills to prevent further spreading while I play sports. Does anyone know what those pills are? I forgot all about them.

  • Reply lili kebede June 9, 2016 at 6:05 am

    I had TV on my back and a friend of mine told me to use these two things! baking soda and aloe vera! Every night i applied baking soda in the shower and left it on for 5min than i wash it off and apply aloe vera gel and sleep! i did this for 3 weeks and its all gone now! i also changed my bed sheets every 3 days and clothes and bra everyday!! try this! hope it works for you too!

  • Reply KENNETH COLENDRES July 2, 2016 at 2:09 pm

    i think salicylic acid its working…

  • Reply TheOriginalMoc August 18, 2016 at 12:13 am

    i've been getting over 10 years now' it started out as 1 single circle on the right side of my neck then i got more circles over time on different parts of my body' now im 28 its started to combine and cover large areas.

  • Reply Patty Gireina November 24, 2016 at 2:41 am

    wow me gustaria entender lo que dice

  • Reply drzflyest4 December 20, 2016 at 10:56 am

    the fungus on the skin is weak against lipids. oil based topical treatments seem to show best reselts ie coconut oil wil tea tree oil is very effective

  • Reply Jay Cruz March 13, 2017 at 7:58 pm

    I've heard selsun 2.5% from Amazon works is that true?has anyone used it yet?did it work?

  • Reply Mehdi Eliass April 2, 2017 at 11:41 pm

    That Think is pessiming me off , iv been using Dermofix(sertaconazol) gel and spray , and 2 pills in the first day , nothing happend during a mounth , and now ketaconazol , but i got more of this dumb tinea every time i finish gym , can someone suggest me any hing please

  • Reply Peter Peterkins April 28, 2017 at 6:40 am

    I got this shit. . . it sucks. I'm white as white, but the tinea versicolor makes me have light brown spots on my abdomen .. .like a damn cow! I'm rubbing Selsin Blue all over myself every night for 2 weeks. . hoping it will work!

  • Reply KidMadness April 30, 2017 at 10:08 am

    I had this shit for years and it never goes away completely!!! So fucking annoying

  • Reply zara ;v; May 3, 2017 at 3:25 am

    I got this after I got hospitalized.. do certain medicine also cause this? I've read that a weak immune system (which I might have had during hospitalization) can cause this as well
    I don't know if this is exactly what I have since it wasn't because of a fungal infection but it looks the closest for me
    Has anyone else experienced the same situation?

  • Reply Mr Flash July 11, 2017 at 3:35 am

    Bathing in dead sea salts kills it.

  • Reply Evan Petrarca July 31, 2017 at 7:04 pm

    Still have this problem because the oral medication made me feel terrible. I asked my doctor for a topical solution but was told there isn't one available wtf

  • Reply Lennon The Bunny August 7, 2017 at 6:42 pm

    You can't pick it up in a gym if it's not contagious.

  • Reply Rob Dux August 11, 2017 at 4:29 pm

    I had this. It's brought on by heat/humid weather. I got rid of it by keeping cool. Cold showers, cooling off infront of a fan, use a fan if tanning etc. It went away fast…about two weeks. Every action has an opposite and equal reaction.

  • Reply shotosaki December 8, 2017 at 3:56 am

    I have this shit on my chest, under my breasts and in my stomach and I hate it so much. I’ve had it maybe a year now and I was always afraid to wear a bathing suit during the summer 🙁 hopefully I can get some cream so it will get rid of it

  • Reply Arthur December 19, 2017 at 6:26 am

    As someone that has a pretty severe case of it, I honestly don't understand what the big deal is.
    It has no negative side effects. As for you appearance. Scars have a much more negative impact on your appearance, and we are much more likely to get those. Personally, I think it looks kinda cool. Like my own personal curse mark (Naruto reference). It's unique.

  • Reply Tracy Charles February 19, 2018 at 9:20 pm

    I respect these forms of treatment (not really) but you have not mentioned any proper nutrition to go along with these topical solutions. The fungus starts within the body & it is not truly cured until one cleanses from within. I used my method one & I have never had an issue again. That was years ago.

  • Reply Pineapple Express April 6, 2018 at 2:06 pm

    What if it dark spots

  • Reply Bill Randolph April 20, 2018 at 7:06 am

    'Esoterica' fade cream worked miracles for me. Applied it twice a day for about 2 weeks, and it nearly disappeared completely.

  • Reply Durnk vun May 19, 2018 at 5:24 am

    I’ve taken ketoconazole and fluconazole already and nothing has worked 🙁 I was even told to use head and shoulders as a body wash- nothing. The last thing I was told was to get tanned before I left the dermatologist for good :/ my condition hasn’t improved in the slightest.

  • Reply Jacqueline Chavez June 17, 2018 at 5:40 am

    I took fluconazole orally and used naftin cream everything . Nothing has happened, I’ve had it for 1 year:(

  • Reply Joe Williams July 4, 2018 at 3:54 am

    Had this for 30+ years back in the days they gave me pills that made me nausea and other creams just didn't work, growing up never took my shirt off was too embarrass so i just give up but im lookin for some good treatments Help please!…loss faith in some of these Doctors

  • Reply Mary McCauley Makeup Lover July 15, 2018 at 12:56 pm

    Dr. Dwayne Montie: Thank you for the informative video. Do you know if there is a cure for Tinea or is this something I will "permanently" have to deal with?

    I have been struggling with Tinea Versicolor since I was 21 and now I am 53. I believe I got Tinea from tanning beds back when I was 21 (since I don't go to public gyms). I live in the Northeast U.S. and get a "flare up" every year around July/August when it gets hot and humid out or if I start working out and working up a sweat (and currently got it again which my doctor just gave me a prescription for oral tablets Ketoconazole (200 mg) 1 tablet for 5 days). I also use the Lotrimen foot fugal spray and spray my back. It seems to only affect my torso and sometimes makes its way to my shoulders, but I rarely get any on my chest or stomach. When it gets really bad, it feels like thousands of ants running all over my back which makes it itchy. Any additional info. on how to get rid of this permanently?

  • Reply 247webgirl September 12, 2018 at 8:54 pm

    Does anyone know if sulfer/salicylic soap like Sal3 works for this?

  • Reply Christina Patterson September 19, 2018 at 1:36 pm

    Very Informative

  • Reply Nolan Walker October 20, 2018 at 12:49 am

    Has anyone had luck removing their discoloration after having it for years? I just figured my skin tone was playing games until my doctor told me about this recently.

  • Reply Marina Begum October 27, 2018 at 8:22 pm

    My doc prescribed me hyporal tab ketoconezol cream candid tv shampoo, but no results found. It goes away in winter but appears in summer, hav been suffering for year, plz suggest remedy plz plZ

  • Reply The One 21 November 18, 2018 at 6:22 pm

    Try having this for a year

  • Reply Chinelo Nkenke December 3, 2018 at 1:18 pm

    hi Rob Dux, your contribution is interesting. Tx very much. keeping cool is it. But pls, what did you use to treat it, as well as remedy used to remove the spots and the measures you took against recur.

  • Reply Tommy Greist December 10, 2018 at 1:44 am

    The dermatologist had me use nuzoral and head and shoulders lather in shower let dry for 10 min then rinse.Slowly receatted

  • Reply Margarita Martinez January 16, 2019 at 9:01 pm

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  • Reply kim so hyun January 27, 2019 at 6:32 pm

    i have listened tea tree oil is best for it
    also add more garlic to the diet
    avoid yeast containing foods

  • Reply 690169016901 March 8, 2019 at 8:20 am

    I have had it for years. Seems to be worse in the winter. Best thing I have found to treat it is Selsun Blue. I use it like a cream once a week at night. Yes it stinks and is messy, yes it's blue. Once it gets under control i just use it as a shampoo every couple weeks. I have it on my back and shoulders and sometimes my neck. I am researching diets to see if I can get some results that way.

  • Reply SuperSimpleasthat July 9, 2019 at 5:59 pm

    I'm a pharmacist.
    You have to use a cream that have the active ingredient "propylene glycol". Go to a doctor and ask them to write it for you

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