Fungus White Patches on Skin - #8033

Based on your description of white patches on the skin around your neck and upper back, it is possible that you are dealing with a condition like tinea versicolor, which is a fungal infection caused by an overgrowth of yeast that naturally occurs on the skin. This can manifest as lighter or darker patches of skin that become more noticeable when exposed to sunlight. However, it could also represent other skin conditions, such as vitiligo or psoriasis, especially if the patches are not itchy or painful. Since you have been using an over-the-counter antifungal cream for two weeks without improvement, it's recommended to take the following steps: 1. Consult a Dermatologist: Seeing a dermatologist is crucial for an accurate diagnosis. They may perform a physical examination and, if necessary, take a skin scraping for microscopic examination to confirm the presence of fungi. 2. Antifungal Treatment: If tinea versicolor is confirmed, stronger topical antifungal treatments (like ketoconazole or selenium sulfide) or oral antifungals may be prescribed. Over-the-counter antifungals sometimes do not penetrate deeply enough to eradicate the infection, especially if it’s recalcitrant. 3. Monitoring Condition: It typically takes weeks to months for the discoloration from tinea versicolor to resolve completely, depending on the treatment effectiveness and your skin’s response. If the initial treatment does not work, follow-up with your healthcare provider for possible re-evaluation and adjustment of your treatment. 4. Climate Considerations: Since you live in a warm, humid area, sweat can exacerbate fungal conditions. Wearing breathable fabrics, changing sweaty clothes promptly, and keeping your skin clean and dry can help manage the condition. After sweating, taking a shower and applying a topical antifungal may reduce moisture and yeast proliferation. 5. Contagious Nature: Tinea versicolor is not contagious in the same way that athlete's foot might be; it's caused by naturally occurring yeast in the skin, which can become problematic under specific conditions. It typically does not spread from person to person or to different parts of your body. 6. Preventive Measures: Regular bathing, using an antifungal soap during times of increased risk (like summer), and keeping the skin dry can significantly aid prevention and management. Changing clothes regularly, especially after sweating, can also help reduce the risk of recurrence. 7. Self-Consciousness: It’s understandable to feel self-conscious about skin changes, but with the right treatment and care plan, improvements can be made. Follow your dermatologist's recommendations closely for the best outcome. In summary, I strongly encourage you to schedule an appointment with a dermatologist for a thorough evaluation and targeted treatment plan. This is the best way to determine the exact nature of your skin condition and avoid any potential complications.