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Differential diagnosis

Pityriasis versicolor or vitiligo?

Pityriasis versicolor is a superficial yeast condition that can create pale or darker patches. Its biology and treatment differ from vitiligo.

In breve

Punti essenziali

  • Fine scale is common
  • Often affects the trunk
  • Mycology can confirm it
  • Treatable after diagnosis
01

Typical clues

Patches commonly affect the chest, back, shoulders or upper arms and may have fine, bran-like scaling. Contrast can increase after sun exposure.

02

Confirming the cause

Microscopy or another mycological test can identify yeast. Wood’s light and the clinical pattern support the distinction from smooth, fully depigmented vitiligo.

Base editoriale

Editorial basis: current AWMF S2k guideline on the diagnosis and treatment of vitiligo, register 013-093, version 2.0 dated 27 July 2026. Reviewed on 2 September 2026.

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