Dark tinea versicolor

Tinea versicolor may appear as patches on the chest, back, shoulders, neck, or upper arms. The colour can be darker, lighter, or slightly pinker than nearby skin, and patches may join together. Fine scale may be easier to notice when the skin is gently scratched. Mild itch can occur, especially with heat or sweating. Similar-looking dark patches, rashes, or scaling have other causes, so appearance alone cannot confirm the diagnosis.

A clinician can confirm whether an antifungal approach is appropriate. Options may include [Topical Antifungal Treatment](/treatments/medical-dermatology/topical-antifungal-therapy/), [Medicated Shampoo Treatment](/treatments/medical-dermatology/medicated-shampoo-therapy/), or, in selected cases, [Oral Antifungal Treatment](/treatments/medical-dermatology/oral-antifungal-therapy/). Follow the directed contact time and complete the recommended course. Keep sweaty skin dry, avoid sharing towels, and use gentle products. The yeast may clear before the colour becomes even again.

Arrange a review if patches are spreading, painful, strongly itchy, inflamed, crusted, or not improving after directed treatment. Seek assessment for a new rash that affects the eyes or mouth, or for fever or feeling unwell. Recurrent episodes may need a prevention plan tailored to heat, sweating, and skin sensitivity.

Ask whether the patches fit [Tinea Versicolor](/conditions/tinea-versicolor/), whether scale is present, which treatment form suits the affected area, and when colour changes should be reassessed.