Pityriasis Versicolor on the Scalp: An Unusual Distribution of a Common Disease

    June 2023 in “ Pediatric investigation
    Lijuan Wang, Xing Huan
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    TLDR A boy's scalp infection, usually found on the body, was effectively treated with antifungal cream.
    A 7-year-old boy presented with unusual scalp hypopigmentation due to pityriasis versicolor (PV), a common superficial fungal infection typically found on the trunk, neck, and upper extremities. The diagnosis was confirmed through Wood's lamp examination and direct microscopy, revealing characteristic thick-walled yeasts and short angular hyphae. The patient was successfully treated with topical terbinafine hydrochloride cream for 6 weeks, resulting in complete resolution of the lesions. This case highlights the importance of recognizing atypical presentations of PV, particularly hypopigmented forms, which can be misdiagnosed and require differentiation from other disorders like vitiligo and pityriasis alba.
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