Skin fungus white spots
August 11, 2007|DR. PAUL DONOHUE
Dear Dr. Donohue: What cures sunspots? I have them on my upper chest and back. I'd like to wear a bathing suit, but these spots embarrass me. - S.S.
Dear Dr. Donohue: I swim almost daily in a public swimming pool. My legs are very tan. I have small, white spots on them. Is this a parasite? A worm? How do I get rid of them? - E.F.
Dear E.F.: As best as I can determine from your letters, you both have tinea versicolor. It comes from a common fungus.
The fungus causes small circles of skin to lose their pigment. Next to tanned skin, the circles stand out like a sore thumb. Adjacent circles can merge to form larger depigmented areas. The upper chest and back, the arms, the legs, the face and the neck are the places usually affected. Oily, excessively sweaty skin encourages growth of the fungus, as do heat and humidity.
The fungus doesn't lead to ill health.
The only way to be sure of the diagnosis is to have a doctor scrape involved skin and examine the scrapings with a microscope. The fungus is easily seen.
Selenium sulfide, found in many shampoos, can get rid of the fungus, but a stronger solution than the one found in commercial shampoos is usually required - 2.5 percent selenium sulfide. Spectazole cream and Nizoral cream also work, as do many other fungal medicines.
It takes a long time for the depigmented skin patches to repigment.
Dear Dr. Donohue: I am a 53-year-old male. I work out three times a week. I take Tenormin once a day. How do I judge my cardiovascular workout, since the Tenormin doesn't allow my heart rate to increase much? - B.
Dear B.: Beta-blocker drugs like Tenormin slow the heartbeat. You can't use heartbeat as a gauge of exercise intensity. You have to use your own estimation of how hard you are exercising. Even though you can't raise your heart rate to a predetermined level, you are getting all the exercise you need, and your heart still benefits from it.
Write to Paul Donohue, M.D., P.O. Box 536475, Orlando, FL 32853-6475.
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White spots from fungus Pityriasis Versicolor2010-01-01 13:28:42 by TV-PCRepairman
Hi my name Dr.Fungus
If you are having trouble with white spots on your skin, and your doctor can't quite figure out whats wrong with you unless you pay for very expensive diagnostic tests including skin biopsys that leave scars etc, then wait weeks or even months after several appointments for test results with no treatment, then this information may just help you save a bundle of cash and get fast results!
This treatment is for Pityriasis Versicolor otherwise known as
Sometimes doctors like myself just may overlook this easy to spot skin problem as we forget to use the simple Wood's light exam, and sometimes if its close to the end of the month when we have to pay the rent or our Jaguar payment
White spots on the skin like reverse dalmation2011-02-04 18:32:09 by manx2004
Round, white circles
usually in clusters
only on the torso - never on my neck or higher, arms or legs
they do not itch or otherwise bother me
I've been to several doctors and dermatologists and even had a biopsy!
Treatments have included bathing in prescription strength selsum blue (leaving it on for 30 minutes each time, twice a day, sometimes 4 times a day... seriously who thought that was a good idea?!?), several types of cream including anti fungal and steroids, the pill difulcan (sp?) and no sun exposure for over 6 months -- all have had no effect on the spots!
From the biopsy they know it is not: cancer, fungus (such as Tinea versicolor), autoimmune, sun damage or hypo-pigmentation (such as Vitiligo).
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