Discoloration in the middle back

A 26-year-old male came with discoloration in the middle of the back which he states appeared 2 months ago. It is noted on both sides of the middle of the back, but more prominent on the left side. It appears somewhat dry and scaly. Denies itching or discomfort. Pt reports he did receive a massage from a massage therapist who used cannabis massage cream but doesn’t know If the discoloration was there prior to the massage. Recommendations? Possible fungal infection?

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IT'S A..CASE OF.. ? TENIA.. TENIA VERSICOLOR.. ? PITYRIASIS VERSICOLOR.. * TOPICALLY.. KETOCONAZOLE / CLOTRIMAZOLE SHAMPOO..TWICE WKLY.. * TERBINAFINE 500MG OD..

Tnx Dr Vipin Bihari Jain
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Apparently pityriasis versicolar Fluconazole 150mg 1weekly Foristal1bd, ointment lulliconazole Ketoconazole soap

Pityriasis Versicolor Keto soap powder and lotion locally. Clotrimazole oint or lotion locally bd. Antihistamine and antifungal orally. Improve General health and personal hygiene.

Thanks Dr Kute Ankush
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Pytriasis versiculor

Thanx dr Kute Ankush
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Pityriasis Versicolor

Looks like pityriasis versicolor Adv Local antifungal Ointment application

Pityriasis versicolor...fluconazole 150mg weekly for 3wks ,ketoconazole soap and antihistamines.

Pityriasis versicolor.. treat with topical antifungals ...

Pityriasis versicolor Fluconazole 400 stat,ketoconazole soap,fluconazole lotion half hour before bath for two weeks then twice weekly

DX:p versicolor.stat dose fluconazole and topical antifungals.ddx:pih.

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