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Multi-colored lichen: symptoms in humans, photos, treatment and drugs

The basis of the appearance of multi-colored lichen is a fungal infection. The disease is common in places with a warm and humid climate, and hyperactivity of sweat glands is also recognized as a provoking factor. About all the causes of multi-colored lichen in a person, the symptoms and treatment of pathology are described below.


What is a disease?

Lichen-colored versicolor is an infectious pathology of the skin, usually not accompanied by inflammation. The causative agent is a conditionally pathogenic fungus of the genus Pityrosporum (Pityrosporum), which affects the skin horny layer, leading to the appearance of yellowish brown or pink spots (see photo).

Lichen versicolor photo man

Versicolor versicolor - man photo

The treatment is aimed at eliminating the formations and is, first of all, aesthetic in nature. The course of the disease is long, but it is not transmitted to other people and has no complications.

Types of multi-colored lichen:

  • Invert, in which spots are formed in the folds of the skin - in the armpits, under the breasts, on the inner folds of the limbs - and are not inflammatory.
  • Erythematous squamous is also non-inflammatory, the spots are localized in different places on the body and have different sizes.
  • Follicular - this type of lichen is accompanied by inflammation, there are ulcers up to 3 mm on the spots, at the same time they itch and cause discomfort. This form of the disease develops in severe cases, for example, after therapy with hormonal drugs or antibiotics, with diabetes .

The reasons for the appearance of multi-colored lichen

Causes of multi-colored lichen treatment

Pityrosporum fungi, which cause lichen-colored lichen, live in small amounts on the skin of a healthy person, making up part of the normal microflora, and are in the form of Pityrosporum orbiculare. Under certain conditions, they begin to multiply and pass into their pathogenic forms:

  • Pityrosporum ovale is an oval-shaped fungus that causes primary damage to the stratum corneum;
  • Malassezia furfur - is activated with the further development of the disease, after the formation of spots penetrating into the deeper layers and forming mycelium.

All three of these forms are varieties of the same type of yeast-like fungi, and the provoking causes of the occurrence of multi-colored lichen are:

  • enhanced sweating - in hot weather, with high physical exertion, against the background of pathologies;
  • poor unbalanced nutrition;
  • diseases with a regular increase in temperature;
  • seborrhea fatty type ;
  • long-term use of antimicrobial drugs, oral contraceptives or glucocorticoids;
  • alkaline sweat environment triggered by obesity, diabetes, malignant neoplasms;
  • genetic predisposition;
  • living in countries of the tropical or subtropical zone, for comparison, in the tropics, up to 40% of the population encounters this pathology, in the temperate zone only up to 5%;
  • age up to 10 and after 55 years.

Reduced immunity is not considered by physicians as one of the main contributing factors or causes of multi-colored lichen. Pitirosporum fungi are not transmitted from person to person, that is, this form of depriving is not contagious, despite its infectious nature.

Symptoms of multi-colored depriving a person - photo

Symptoms of multi-colored depriving a person

photo of symptoms of multi-colored depriving a person

Symptoms of multi-colored lichen

One of the main symptoms of multi-colored lichen is the appearance of spots of different size on the skin. More often, they are localized in the upper region of the body — on the shoulders, chest, abdomen, groin, arms, back — and they have a rounded or oval shape and uneven edges.

Sometimes they appear on the genitals, scalp, face and never hit the feet and hands.

As the disease progresses from 3-4 mm, they increase to larger sizes and can combine into large spots, forming different shapes. On their surface are visible tiny, dry, dry scales, which, when combed, begin peeling.

The less often the sick person washes the body, the more pronounced it is. In patients taking a shower or bath every day, the scales are almost not noticeable, since keratinized skin particles are constantly washed away with water.

With multi-colored lichen, the spots on the skin are flat, not elevated, not affected by inflammation, they do not have a clear boundary between them and are separated from healthy skin only by their color. They may slightly or moderately itch, and in the affected area sometimes hair falls out, with the exception of the scalp.

The shade of multicolor lichen spots is light pink, brown, yellowish or red. In this case, one person on the body may appear specks of different colors.

Symptoms of multi-colored lichen

manifestations are quite different, it is clearly seen in the photo

After sunburn, the spots become light up to whites and peel off hard. Moreover, severe desquamation as a result of exposure to the sun can sometimes lead to self-curing depriving. This is due to the separation of all keratinized cells affected by the fungus. However, specifically to sunbathe for the purpose of treatment is not recommended.

  • The main harm that a versatile lichen brings to a person is an unattractive appearance and psychological discomfort.

Complications dangerous to life and health, the pathology does not cause. Pityriasis versicolor are often diagnosed in childhood and adolescence. Its symptoms and forms are similar to those in adults.

Multi-colored lichen in children often develops due to wearing too warm and synthetic clothes, especially in hot weather, as well as from taking medicines.

Treatment of multi-colored lichen, preparations and ointments

Treatment of multi-colored lichen preparations In some cases, there is an independent cure, but well-chosen drugs allow the doctor to get rid of multi-colored lichen much faster. After recovery, spots remain on the skin for 2-4 months, gradually disappearing without a trace.

The general tactics of treatment of multi-colored depriving with drugs is as follows:

  1. Treatment of skin with antifungal and keratolytic ointments alternately.
  2. The use of special shampoos in the localization of lesions in the scalp.
  3. Acceptance of antifungal tablets with the ineffectiveness of local funds.

Examples of specific drugs are presented below.

Local funds

Antifungal ointments for multi-colored lichen affect directly the fungus, inhibiting its activity. Apply formulations based on:

  • ketoconazole - Mycoket, Nizoral, Sebozol, Dermazole;
  • clotrimazole - Imidil, Funginal, Kanizon, Amiklon;
  • Econazole - Ecodax, Ifenek;
  • sertaconazole - Sertamicol, Zalain, Sertaconazole;
  • miconazole - Mikozon, Daktarin;
  • terbinafine - Lamisil, Dermgel, Miconorm, Exifin;
  • bifonazola - Mikospor, Bifas;
  • Naftifine - Exoderil, Micoderil.

Keratolytics are needed to soften, actively exfoliate dead skin cells from the surface of the skin and cleanse it. In the treatment of multi-colored lichen use such keratolytic agents:

  • salicylic ointment 5%;
  • 5-10% glycolic acid solution;
  • talker with tar;
  • alcohols - resorcinol 5%, salicylic 3-5%, or a combination of them.


If during the month the use of external agents does not bring results, antifungal medications are prescribed for oral administration. More often, these are pills based on:

  • ketoconazole - Nizoral, Fungavis, Mycozoral, Oronazole;
  • Itraconazole - Kanditral, Technazol, Mikonikhol;
  • Fluconazole - Nofung, Flucostat, Tsiskan, Diflucan , Mikomax.


If we develop a multi-colored head of the scalp, ordinary shampoo should be replaced with a healing one. It may contain ketoconazole (Nizoral, Sebozol, Keto plus) or other active substances:

  • selenium sulfide - Sulsen Forte, Sulsen;
  • zinc pyrithione - keto plus, skin cap.

Other recommendations

Folk remedies in the treatment of multi-colored lichen can only reduce the intensity of peeling and soften the skin, but not affect the activity of the pathogen. Therefore, the use of vinegar, herbal infusions and decoctions can not be considered as an alternative to drug therapy.

During treatment, it is important to follow some recommendations:

  • wash clothes and towels in very hot water;
  • after washing to iron clothes on both sides;
  • carry out daily cleaning;
  • washcloth and other hygiene items with boiling water with soap or antifungal solutions.

Sunbathing is contraindicated, since ultraviolet rays can cause pseudo-leucoderma, in which the affected areas become white.

During therapy and after recovery, it is necessary to harden, to enrich the diet with fresh vegetables, fruits and herbs, to observe a healthy mode of work and rest. To prevent the recurrence of the disease, it is useful to take 1 tablet of antifungal agent each month.


Pathology can last for many years without causing serious harm, except for discomfort and aesthetic inconvenience. The versicolor versicolor responds well to therapy, has no serious complications and is not dangerous for life and health.

In some cases, folliculitis can become an unpleasant consequence, in which hair follicles on the chest and back become inflamed, but this disease is also well treated.

With illiterate self-medication or without therapy, lesions may be present on the skin for a long time, and the disease may be replaced by periods of remission (in summer) and exacerbations.


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