A Clinical and Epidemiological Study of Pityriasis Versicolor in Baghdad City

Authors

  • Kholod Abbas Department of Dermatology and Venerology, Al-Nahrain College of Medicine, Baghdad, Iraq
  • Luma K. Mohammed Department of Community Medicine, Al-Nahrain College of Medicine, Baghdad, Iraq https://orcid.org/0000-0003-0159-5723
  • Wajeeh N. Hussein Department of Dermatology, Shirqat General Hospital, Salah Al-Deen, Iraq

DOI:

https://doi.org/10.3889/oamjms.2022.9714

Keywords:

Baghdad city, Dyspigmented patches, Epidemiology, Pityriasis, Tinea versicolor

Abstract

BACKGROUND: Pityriasis versicolor (PV) is a common and chronic superficial mycosis seen in all age groups and characterized by dyspigmented lesions caused by dimorphic lipophilic yeast.

AIM: The aim of the study was to study the clinical aspects, prevalence, and demographic data of patients with PV in Baghdad City.

MATERIALS AND METHODS: Total of 175 patients with PV attending the department of Dermatology at Al Imamein Al Kadhemein Medical City and Alkarama Teaching Hospital in Baghdad city from January 2019 to January 2020 were included in this study. Diagnosis was done clinically. Interviews with patients were done using a questionnaire designed by the researcher.

RESULTS: From 175 patients with PV, there were 71 (40.6%) males and 104 (59.4%) females. The mean age was 23.97 ± 10.25 years. The majority of cases 71 (40.6%) were 21–30 years. Eighty-one (46.3%) patients were presented from April to June. Itching presented in 21.7% of patients. The majority of patients (48.6%) presented with hyperpigmented type. Neck was the most common site to be involved in 101 patients (57.7%).

CONCLUSION: The most common age group affected was 21–30 years. Females were commonly affected. Peak incidence was observed in April–July months. Neck was the most common site affected. Hyperpigmented type is more commonly presented type.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

Mellen LA, Vallee J, Feldman SR, Fleischer AB, Jr. Treatment of pityriasis versicolorin the United States. J Dermatol Treat. 2004;15(3):189-92. https://doi.org/10.1080/09546630410032421 PMid:15204154 DOI: https://doi.org/10.1080/09546630410032421

William D, James MO, James WD, Berger TG, Elston DM. Andrews Diseases of the Skin Clinical Dermatology. Diseases Resulting from Fungi and Yeasts. 12th ed. Amsterdam, Netherlands: WB Sanuder’s Company, Elsevier; 2016. p. 300-1.

Borelli M, Jacobs PH, Nall L. Tinea versicolor: Epidemiologic, clinical and therapeutic aspects. J Am Acad Dermatol. 1991;25(2 Pt 1):300-5. https://doi.org/10.1016/0190-9622(91)70198-b PMid:1918469 DOI: https://doi.org/10.1016/0190-9622(91)70198-B

Klenk AS, Martin AG, Heffernan MP. Yeast infections: Candidiasis, pityriasis (tinea) versicolor. In: Freedberg IM, Eisen AZ, Wolf K, Austen KF, Goldsmith LA, Katz SI, editors. Fitzpatrick’s Dermatology in General Medicine. 6th ed. New York: McGraw-Hill; 2003. p. 2006-18.

Roopal V, Garg KA. Yeast infections: Candidiasis and tinea (pityriasis) versicolor. In: Wolff K, Goldsmith LA, Katz S, Gilchrest BA, Paller AS, Leffel DJ, Fitzpatrick TB, editors. Fitzpatrick’s Dermatology in General Medicine. 8th ed. New York: MacGraw-Hill; 2012. p. 2307-10.

Hay RJ, Moore M. Mycology. In: Champion RH, Burton JL, Burns DA, Breathnach SM, editors. Textbook of Dermatology. Vol. 6. Oxford: Blackwell Science; 1998. p. 1277-376.

Sunenshine PJ, Schwartz RA, Janniger CK. Tinea versicolor. Int J Dermatol. 1998;37(9):648-55. https://doi.org/10.1046/j.1365-4362.1998.00441.x PMid:9762812 DOI: https://doi.org/10.1046/j.1365-4362.1998.00441.x

Erchiga VC, Florencio VD. Malassezia species in skin diseases. Curr Opin Infect Dis. 2002;15(2):133-42. https://doi.org/10.1097/00001432-200204000-00006 PMid:11964913 DOI: https://doi.org/10.1097/00001432-200204000-00006

Ashbee HR, Evans EG. Immunology of diseases associated with Malassezia species. Clin Microbiol Rev. 2002;15(1):21-57. https://doi.org/10.1128/CMR.15.1.21-57.2002 PMid:11781265 DOI: https://doi.org/10.1128/CMR.15.1.21-57.2002

Gupta AK, Batra R, Bluhm R, Faergemann J. Pityriasis versicolor. Dermatol Clin. 2003;21(3):413-29, v-vi. https://doi.org/10.1016/s0733-8635(03)00039-1 PMid:12956196 DOI: https://doi.org/10.1016/S0733-8635(03)00039-1

Jena DK, Sengupta S, Dwari BC, Ram MK. Pityriasis versicolor in the pediatric age group. Indian J Dermatol Venereol Leprol. 2005;71(4):259-61. https://doi.org/10.4103/0378-6323.16618 PMid:16394435 DOI: https://doi.org/10.4103/0378-6323.16618

Moniri R, Nazeri M, Amiri S, Asghari B. Isolation and identificationof Malassezia spp. In pytiriasis versicolor in Kashan, Iran. Pak J Med Sci. 2009;25(5):837-40.

Choi S. Fungal infections. In: Arndt KA, Hsu JT, editors. Manual of Dermatologic Therapeutics. 7th ed. Philadelphia, PA: Lippincot Williams and Wilkins; 2007. p. 83-93.

De Morais PM, Cunha MD, Frota MZ. Clinical aspects of patients with pityriasis versicolor seen at a referral center for tropical dermatology in Manaus, Amazonas, Brazil. An Bras Dermatol. 2010;85(6):797-803. https://doi.org/10.1590/s0365-05962010000600004 PMid:21308302 DOI: https://doi.org/10.1590/S0365-05962010000600004

Abdul-Hussein AA. Clinical and pigmentary variation of pityriasis versicolor in Al-muthana. Med J Babylon. 2010;7(4):383-8.

Kambil SM. A clinical and epidemiological study of pityriasis versicolor. Int J Sci Stud. 2017;5(9):155-9.

Ghosh SK, Dey SK, Saha I, Barbhuiya JN, Ghosh A, Roy AK. Pityriasis versicolor: A clinicomycological and epidemiological study from a tertiary care hospital. Indian J Dermatol. 2008;53(4):182-5. https://doi.org/10.4103/0019-5154.44791 PMid:19882030 DOI: https://doi.org/10.4103/0019-5154.44791

Snekavalli R, Madhu R, Ramesh A, Janaki C, Dhanalakshmi UR. Clinico epidemiological and mycological study of pityriasis versicolor. Int J Res Med Sci. 2018;6(6):1963-70. https://doi.org/10.18203/2320-6012.ijrms20182043 DOI: https://doi.org/10.18203/2320-6012.ijrms20182043

Krishnan A, Thapa DM. Morphological and pigmentary variations of tinea versicolor in South Indian patients. Indian J Dermatol. 2003;48(2):83-6.

Febriyanti, Paramita DA, Eyanoer P. Pityriasis versicolor in primary school children in Medan Labuhan. IOP Conf Series Earth Environ Sci. 2018;125(2018):012051. https://doi.org/10.1088/1755-1315/125/1/012051 DOI: https://doi.org/10.1088/1755-1315/125/1/012051

Karakas M, Durdu M, Memisolglu HR. Oral fluconazole in the treatment of tinea versicolor. J Dermatol. 2005;32(1):19-21. https://doi.org/10.1111/j.1346-8138.2005.tb00707.x PMid:15841655 DOI: https://doi.org/10.1111/j.1346-8138.2005.tb00707.x

Uneke CJ, Ngwu BA, Egemba O. Tinea capitis and pityriasis versicolor infections among school children in the south-eastern Nigeria: The public health implications. Int J Dermatol. 2006;4(2):2503. https://doi.org/10.5580/2503 DOI: https://doi.org/10.5580/2503

Giusiano G, Sosa Mde L, Rojas F, Vanacore ST, Mangiaterra M. Prevalence of Malassezia species in pityriasis versicolor lesions in Northeast Argentina. Rev Iberoam Micol. 2010;27(2):71-4. https://doi.org/10.1016/j.riam.2009.12.005 PMid:20346299 DOI: https://doi.org/10.1016/j.riam.2009.12.005

Schwartz RA. Superficial fungal infections. Lancet. 2004;364(9440):1173-82. https://doi.org/10.1016/S0140-6736(04)17107-9 PMid:15451228 DOI: https://doi.org/10.1016/S0140-6736(04)17107-9

Shah A, Koticha A, Ubale M, Wanjare S, Mehta P, Khopkar U. Identification and speciation of Malassezia in patients clinically suspected of having pityriasis versicolor. Indian J Dermatol. 2013;58(3):239. https://doi.org/10.4103/0019-5154.110841 PMid:23723483 DOI: https://doi.org/10.4103/0019-5154.110841

Hasan AR, Alduliami AA. Al-Kialy KM. Clinical and fungal study of pityriasis versicolor infection among patients with skin mycoses in Baquba. Iraqi J Commun Med. 2014;1:30-3.

Rao GS, Kuruvilla M, Kumar P, Vinod V. Clinicoepid emiological studies on tinea versicolor. Indian J Dermatol Venreol Leprol. 2002;68(4):202-8. PMid:17656938

Kristany RI, Bramono K, Wisnu IM. Identification of Malassezia from pityriasis versicolor in Indonesia and its relationship with clinical characteristics. Mycoses. 2008;52(3):257-62. https://doi.org/10.1111/j.1439-0507.2008.01593.x PMid:18643886 DOI: https://doi.org/10.1111/j.1439-0507.2008.01593.x

Chaudhary R, Singh S, Banerjee T, Tilak R. Prevalence of different Malassezia species in pityriasis versicolor in central India. Indian J Dermatol Venereol Leprol. 2010;76(2):159-64. https://doi.org/10.4103/0378-6323.60566 PMid:20228545 DOI: https://doi.org/10.4103/0378-6323.60566

Akaberi AA, Amini SS, Hajihosseini H. An unusual form of tinea versicolor: A case report. Iranian J Dermatol. 2009;12(Suppl 3):S30-1.

Aste N, Pau M, Aste N. Pityriasis versicolor on the groin mimicking erythrasma. Mycoses. 2004;47(5-6):249-51. https://doi.org/10.1111/j.1439-0507.2004.00977.x PMid:15189194 DOI: https://doi.org/10.1111/j.1439-0507.2004.00977.x

Santana JO, de Azevedo FL, Filho PC. Pityriasis versicolor: Clinical-epidemiological characterization of patients in the urban area of Buerarema-BA, Brazil. An Bras Dermatol. 2013;88(2):216-21. https://doi.org/10.1590/S0365-05962013000200005 PMid:23739695 DOI: https://doi.org/10.1590/S0365-05962013000200005

Varada S, Dabade T, Loo DS. Uncommon presentations of tinea versicolor. Dermatol Pract Concept. 2014;4(3):93-6. https://doi.org/10.5826/dpc.0403a21 PMid:25126470 DOI: https://doi.org/10.5826/dpc.0403a21

Mahmoudabadi AZ, Mossavi Z, Zarrin M. Pityriasis versicolor in Ahvaz, Iran. Jundishapur J Microbiol. 2009;2(3):92-6.

Hafez M, El-Shamy S. Genetic susceptibility in pityriasis versicolor. Dermatologica. 1985;171(2):86-8. https://doi.org/10.1159/000249397 PMid:4043474 DOI: https://doi.org/10.1159/000249397

He SM, Du WD, Yang S, Zhou AM, Li W, Wang J, et al. The genetic epidemiology of tinea versicolor in China. Mycoses. 2007;51(1):55-62. https://doi.org/10.1111/j.1439-0507.2007.01437.x PMid:18076596 DOI: https://doi.org/10.1111/j.1439-0507.2007.01437.x

Banerjee S. Clinical profile of pityriasis versicolor in a referral hospital of West Bengal. J Pak Assoc Dermatol. 2011;21(4):248-52.

Tabaseera N, Kuchangi N, Swaroop MR. Clinico-epidemiological study of pityriasis versicolor in a rural tertiary care hospital. Int J Res Med Sci. 2014;2(4):1438-40. https://doi.org/10.5455/2320-6012.ijrms20141136 DOI: https://doi.org/10.5455/2320-6012.ijrms20141136

ErchigaVC, Martos AA, Casaño AV, Erchiga AC, Fajardo FS. Isolation and identification of Malassezia spp. In pityriasis versicolor, seborrheic dermatitis and healthy skin. Rev Iberoam Mycol. 1999;16(S):S16-21. PMid:18473598

Downloads

Published

2022-07-25

How to Cite

1.
Abbas K, Mohammed LK, Hussein WN. A Clinical and Epidemiological Study of Pityriasis Versicolor in Baghdad City. Open Access Maced J Med Sci [Internet]. 2022 Jul. 25 [cited 2024 Apr. 23];10(B):1869-75. Available from: https://oamjms.eu/index.php/mjms/article/view/9714