This NHS content is written for people in England. Services, entitlements and contact routes may differ in other countries.
Symptoms of pityriasis versicolor
Pityriasis versicolor causes patches of skin to change colour.
On white skin, the patches are usually pink, red or pale brown. You may notice the patches do not tan in the sun.
On brown or black skin, the patches tend to be paler than the surrounding skin.
The patches usually appear on the chest, upper back, upper arms, neck or tummy.
The patches are flat and round, and can join up to form large areas. They may feel scaly and can sometimes be itchy.
See a GP if:
- patches of your skin have changed colour – if it's pityriasis versicolor, it will usually only go away if treated
- you have any other changes to your skin you're worried about
Treatment for pityriasis versicolor from a GP
A GP or pharmacist can prescribe treatment for pityriasis versicolor or tell you which antifungal medicines to buy.
The main treatments are:
- antifungal shampoo (such as ketoconazole) that you use on the affected skin and rinse off after 10 to 15 minutes
- antifungal cream
If pityriasis versicolor covers a large area, or shampoos and creams do not work, a GP may prescribe antifungal tablets.
It can take a few months for the skin to return to its usual colour after treatment, and the patches can come back.
If they come back, you may need the same treatment again or your GP may suggest long-term treatment, such as using antifungal shampoo every few weeks.
How you get pityriasis versicolor
Pityriasis versicolor is caused by a type of fungus that lives on the skin.
Most people have this fungus on their skin without it causing any problems. But sometimes it can grow and spread more than usual, causing pityriasis versicolor.
It's not always clear why this happens. It's not caused by not washing your skin, and most people who have it are otherwise healthy.
Pityriasis versicolor cannot spread from person to person.
Pityriasis versicolor
Pityriasis versicolor
Pityriasis versicolor
The main sign of pityriasis versicolor is patches of discoloured, scaly skin on your chest, back or arms. The patches can be pink, red or pale brown.
Pityriasis versicolor is usually treated with antifungal shampoo or cream. Sometimes you might need antifungal tablets.
Pityriasis versicolor is caused by a fungus that lives on the skin. The fungus is usually harmless but can cause problems if it grows more than usual.
Content supplied by the NHS website, refreshed 19 August 2026. View the original NHS article ↗
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