Update: October 2018
Color lichen – has several choices of names, such as
multicolor tinea versicolor, in everyday life it is still called sunny
fungus. Why solar? Because it is believed that this skin
the disease most often appears in residents of countries with hot humid
climate and it manifests itself after sun exposure. In russia
lichen color according to some statistics is only striking
5-10% of the population.
Pityriasis versicolor affects a certain group of people prone
to ringworms, and has the feature of flowing in waves – with
periods of decline and with periods of relapse in the hot sunny time
of the year. This is not a dangerous disease that does not pose a threat.
human health, is easily treatable, but can deliver
psychological discomfort and aesthetic
Pityriasis versicolor – causes of a person
Разноцветный отрубевидный (цветной) лишай — это грибковое
a disease caused by Malassezia furfur and
Pityrpsporum orbiculare breeding in the stratum corneum of the epidermis.
By microscopic examination of the infected skin layer, these fungi
placed in the epidermis bunches in the form of thick, curved filaments.
Read also on the topic:
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- Antifungal drugs in pills
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- Antifungal preparations for the feet and nails: ointment, varnish,
How is color lichen transmitted? Many believe that this disease
due to internal causes of imbalance in the body and that
pityrius versicolor is not contagious.
However, dermatologists claim that infection from person to
man this type of fungal infection of the skin is possible. Color
versicolor include conditionally contagious diseases, since
clinical manifestations do not occur in every person
The vast majority of the population is infected with many species of fungus, but
progression of mycosis occurs only in weakened people
suffering from chronic diseases, with reduced immunity.
Therefore, infection with color lichen is possible when:
- Personal contacts, most often it is a family disease.
- Personal and hygiene items used
infected person – washcloths, clothes, towels
- Public locker rooms, fitting rooms in stores
Its incubation period is from 14 days to several
months and for a long time, no symptoms of ringworm
notices, however, if provoking factors occur,
lead to the reproduction of the fungus and the development of color depriving.
The reasons for the appearance of multi-colored lichen in humans are as follows:
- Individual, genetic predisposition of the patient’s skin
- Violation of physiological processes in the stratum corneum, oily
- Concomitant diseases, such as – endocrine diseases,
diabetes mellitus, vegetative neurosis, obesity
- With increased sweating – hyperhidrosis, when it changes
chemical composition of sweat, contributing to the development of fungal
- With a decrease in immunity in infectious diseases
(chronic tonsillitis, caries, pyelonephritis), especially often
pityriasis versicolor is found in patients with various forms
tuberculosis. If a person is diagnosed with tinea versicolor,
should not exclude not only pulmonary tuberculosis, but also extrapulmonary
forms – tuberculosis of the kidneys, female genital organs, bone
tuberculosis and others, which sometimes have hidden sluggishness
- VSD – vegetative-vascular dystonia, which occurs when
imbalance of the autonomic nervous system, a person experiences frequent
dizziness, panic attacks, depression.
- Diseases of the digestive tract, liver, pancreas are also reflected
on human skin and hair.
- Respiratory diseases – bronchial asthma, pneumonia,
- When hormonal disorders in women, with diseases
adrenal glands, ovaries, menopause or pregnancy
possible development of color lichen.
- It develops mainly in the population of middle age,
children under 7 years of age are very rare, only in cases
a sharp decline in immunity or those listed above
- Excessive use of antibacterial shower gels, soaps
and other detergents.
Signs of color depriving
Some signs of this skin disease are similar to the symptoms:
depriving Giber – when the pink spots on the skin become elongated
form or in the form of a diamond and in the center are shelled; with syphilitic
roseola – when pink spots disappear on palpation and not
peel off; and with a disease like Vitiligo. Therefore it is imperative
to differentiate the diagnosis and conduct appropriate treatment,
refer to a qualified dermatologist. Featured
multi-colored lichen include:
- Asymmetrical appearance appears on the skin at the breeding sites of the fungus.
spots of various shades – yellow, pink, brown, with
over time, they merge into large foci with jagged edges.
- Tanning color spots may change, become more
light, discolored, and in winter, on the contrary, to acquire
dark brown shade, this feature was the basis for
Name depriving – multicolored.
- Most often, lichen is localized on the back, rarely on the neck, shoulders,
stomach, sometimes it affects the scalp, without
any changes by the hair.
- Despite therapy and clinical cure, the disease can
periodically recur and last for years.
How to treat pityriasis versicolor
First of all, you should contact your dermatologist: first, to
establish an accurate diagnosis of the disease, secondly – only a doctor
can determine the correct course of complex treatment of color
depriving. Some patients try to self-medicate and
independently take various antifungal drugs without
dermatologist consultation. This is completely unacceptable, the choice of scheme
antifungal therapy should only be carried out by a specialist
and depends on the type of lichen, which can only be determined
after a thorough diagnosis.
- In the summer, it is recommended to sunbathe for therapy;
contributes to the destruction of the fungus, when tanned, discolored spots are still
persist for several months, this process is called
- For the treatment of color lichen use various outdoor
local antimycotics, in the form of creams, ointments, solutions
и спреев – Бифоназол (Микоспор, Бифосин), салициловый лосьон
with chamomile, salicylic gel and shampoo, Clotrimazole cream, solution,
Terbinafin cream. Local funds are used 2 times a day in a course.
- With extensive lesion areas and long duration
diseases a dermatologist may prescribe systemic antifungal
препараты в таблетках , такие как: Кетоконазол –
analogues Oronazol, Nizoral, Mycozoral, Fungavis;
Клотримазол; Итраконазол –
analogues Kanditral, Itrazol, Orungal, Orunit, Rumikoz, Irunin from
грибка, Флуконазол – Микосист, Флюкостат,
- During treatment and for prophylaxis after therapy should
carry out daily wet cleaning with disinfectants in
the room where the patient lives. It is also advisable to wash
bed linen and underwear, towels at a temperature of 95-100C.
Clothes should be carefully ironed on both sides, and old
washcloth is better to throw away.
After cure color lichen, a person should pay
attention to the reasons that caused it, and try to eliminate them.
Strengthening immunity, hardening, good nutrition – will reduce
risk of recurrence of skin pigmentation and recurrence of scaly
multi-colored lichen, the treatment of which delivers a person extra
troubles and sometimes costly.
Автор: Мельникова Светлана Георгиевна врач-дерматолог