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Evoked Scale Sign of Tinea Versicolor
Anne Han, MD;
David A. Calcara, BS;
William V. Stoecker, MS, MD;
Jeanine Daly, MD;
Daniel M. Siegel, MD;
Amanda Shell, LPN
Johns Hopkins University School of Medicine, Baltimore, Maryland (Dr Han); Stoecker and Associates (Mr Calcara and Dr Stoecker) and The Dermatology Center (Ms Shell), Rolla, Missouri; and State University of New York Downstate Medical Center, Brooklyn (Drs Daly and Siegel)
Arch Dermatol. 2009;145(9):1078.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Tinea versicolor (TV) is a superficial cutaneous mycosis that is caused by an overgrowth of Malassezia furfur, a dimorphic, lipophilic yeast that is present in normal skin (Figure 1). The pigmentation of TV lesions varies from white or light pink to dark brown (Figure 2). We demonstrate the "evoked scale sign" of TV, in which a visible layer of thin scale is elicited by either stretching or scraping the affected skin. Two techniques can be used to observe the evoked scale sign of TV. In the first technique, the clinician uses thumb and forefinger to stretch the skin, eliciting a visible white patch of scale overlying the affected area (Figure 3). On release, the scaly patch on the affected area is . . . [Full Text of this Article]
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