Dermatology · UKMLA & AKT

Pityriasis versicolor

A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise pityriasis versicolor — the full SA Note notes add investigations, management, complications and 10 practice questions.

Key high-yield points

  • Superficial fungal infection caused by Malassezia yeast (lipophilic, normal skin commensal)
  • Most common in adolescents/young adults, males, after time in hot/humid environments
  • Malassezia overgrowth → azelaic acid → inhibits tyrosinase → reduced melanin → hypopigmented patches
  • Melanocytes are suppressed, not destroyed - distinguishes PV from vitiligo; repigmentation possible after treatment

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