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21 years
Go to follow up question
I have white spots on my back and dr said its tinea versicolor.Took sporanox for 8 days,then a 2nd dr said they're fungus,took 8 pills of diflucan.But the spots are spreading(arms/neck).Whats that?
May 6, 2014
2nd opinion

Dr. Rania Mousa General Medicine
just to explain because it seems you think every doctor have different diagnosis,in fact both of the same diagnosis,tinea versicolor is a fungus infection ,and both treatments are antifunjal (same group medicines)so dont be confused
Treatment usually eliminates the fungal infection. However, the discoloration of the skin may take up to several months to resolve in severe cases
Tinea versicolor is a fungal infection of the skin. It's also called pityriasis versicolor and is caused by a type of yeast that naturally lives on your skin. When the yeast grows out of control, the skin disease, which appears as a rash, is the result.
The infection can happen for any of the following reasons:
You have oily skin
You live in a hot climate
You sweat a lot
You have a weak immune system
Specific signs and symptoms of the infection include:

Patches that may be white, pink, red, or brown and can be lighter or darker than the skin around them.
Spots that do not tan the way the rest of your skin does.
Spots that may occur anywhere on your body but are most commonly seen on your neck, chest, back, and arms.
Treatment of tinea versicolor can consist of creams, lotions, or shampoos that are put on the skin. It can also include medication given as pills. The type of treatment will depend on the size, location, and thickness of the infected area
try to take antifunjal cream on the lesions beside the pills you take
Here are some tips to help you manage tinea versicolor:

Avoid using oily skin products.
Reduce your exposure to the sun. Exposure to the sun may trigger or worsen an episode, and a tan makes the rash more visible.
If you have to go out in the sun, consider using an anti-fungal shampoo daily for a couple of days prior to sun exposure.
Put on sunscreen every day. Use a non-greasy formula with a minimum sun protection factor (SPF) of 30.
Do not wear tight clothing.
Wear breathable fabrics, such as cotton, to decrease sweating
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