How to effectively treat tinea versicolor on the face

Apr 13, 2022 Source: Cainiu Health
Dr. Gan Liqiang
Introduction
The first step for facial white patches (pityriasis alba) is to consult a dermatologist for examination to determine whether the condition is caused by a fungal infection or vitiligo. If it is a fungal infection, antifungal medications should be used for treatment. If it is vitiligo or another related condition, oral vitamin B complex, urea ointment, silicone oil ointment, vitamin E ointment, and other treatments may be considered. White patches on the face are commonly due to pityriasis alba.

Every spring or winter, numerous white scaly patches (pityriasis alba) appear on the face—not only compromising skin health but also affecting one’s outward appearance. How should facial white scaly patches be treated effectively?

How to Effectively Treat Facial White Scaly Patches

The first step upon noticing white scaly patches on the face is to consult a dermatologist for proper evaluation—to determine whether the condition is caused by a fungal infection or vitiligo. If it is a fungal infection, antifungal medications should be administered. If the diagnosis is vitiligo or another related disorder, treatment options may include oral vitamin B complex supplements, urea ointment, silicone-based ointments, or vitamin E ointment.

White scaly patches on the face are commonly due to pityriasis alba—a poorly understood, superficial, hypopigmented, scaly dermatosis frequently observed in children and adolescents. Lesions typically present as multiple, round or oval, ill-defined, pale macules of varying sizes on the face. The surface appears dry and covered with fine, bran-like scales. Several lesions—often four to five or more—are usually present, each measuring 1–4 cm in diameter, and they commonly occur symmetrically on the face. The condition is generally asymptomatic, though mild pruritus may occasionally occur. The course typically lasts several months to over a year. Although vitiligo may persist for one year or longer, pityriasis alba ultimately resolves spontaneously.

When white scaly patches appear on the skin, dietary modifications are recommended: avoid spicy, stimulating foods, as well as beef and mutton, which may exacerbate the condition. When selecting skincare products, opt for gentle, moisturizing formulations. We hope this information proves helpful!