Fikri Chaimaa, Lalla Safia Echarif, Maryam Aboudourib, Layla Bendaoud, Ouafa Hocar, Said Amal
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When Pityriasis Versicolor wears a vitiligo mask: a puzzle in an immunocompromised patient.
A 47-year-old male with a history of colonic adenocarcinoma and recent chemotherapy presented with persistent hyperpigmentation of the trunk, initially thought to be vitiligo due to the striking hyperpigmented lesions and well-demarcated hypopigmented skin. Histological examination of the hyperpigmented lesions, originally thought to represent normal skin, revealed findings consistent with lichen planus pigmentosus. Due to the clinical-histological discordance, a Scotch test was performed, which identified fungal elements consistent with pityriasis versicolor (PV). Treatment with oral fluconazole resulted in rapid resolution of symptoms, highlighting the importance of reconsidering initial diagnoses when clinical and investigative findings are discordant and the efficacy of timely antifungal therapy.
期刊介绍：
Oxford Medical Case Reports (OMCR) is an open access, peer-reviewed online journal publishing original and educationally valuable case reports that expand the field of medicine. The journal covers all medical specialities including cardiology, rheumatology, nephrology, oncology, neurology, and reproduction, comprising a comprehensive resource for physicians in all fields and at all stages of training. Oxford Medical Case Reports deposits all articles in PubMed Central (PMC). Physicians and researchers can find your work through PubMed , helping you reach the widest possible audience. The journal is also indexed in the Web of Science Core Collection . Oxford Medical Case Reports publishes case reports under the following categories: Allergy Audiovestibular medicine Cardiology and cardiovascular systems Critical care medicine Dermatology Emergency medicine Endocrinology and metabolism Gastroenterology and hepatology Geriatrics and gerontology Haematology Immunology Infectious diseases and tropical medicine Medical disorders in pregnancy Medical ophthalmology Nephrology Neurology Oncology Paediatrics Pain Palliative medicine Pharmacology and pharmacy Psychiatry Radiology, nuclear medicine, and medical imaging Respiratory disorders Rheumatology Sexual and reproductive health Sports Medicine Substance abuse.
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