Sphagetti and meat ball appearance is seen in?

Sphagetti and meat ball appearance is
seen in ?
a) Pityriasis rosacae
b) Tinea capitis
c) Tinea carporis
d) Tinea versicolor
Correct Answer - D
Ans. is ‘d’ i.e., Tinea versicolo
Pitvriasis versicolor (tinea versicolor)
Tinea versicolor is a misnomer as it is not caused by a
dermatophyte; it is caused by a nondermatophytic fungus called
Pityrosporum ovale (malasezia furfur). Usually affects young adults.
Clinical features
There are multiple scaly hypopigmented (more common) or
hyperpigmented macules. Scaling is fufuraciousor rice powder like.
Macules start around the hair follicles and they merge with each
other to form large areas. Affects trunk and shoulders (mainly chest
and back). There may be loosening of scales with finger nails-
coupled onle or stroke of nail. Lesions are recurrent in nature.
Diagnosis

  1. Examination of scales in 10% KOH shows short hyphae and round
    spores (sphagetti and meat ball appearance). Wood’s lamp shows
    apple green fluorescence(blue-green fluorescnce).
  2. Skin surface biopsy - a cyanoacrylate adhesive is used to separate
    the layer of stratum corneum on glass slide and then stained with
    PAS reagent.
    Treatment
  3. Systemic agents :- systemic azoles provide convenient therapeutic
    option. Drugs used are ketokonazole, fluconazole or iatroconazole
  4. Topical antifungals used are ?
    Azoles clotrimazole, econazole, miconazole, ketoconazole
    Others :- selenium sulphide, sodium thiosulphate, whitefield’s
    ointment (3% salicylic acid + 6% benzoic acid)