Pityriasis versicolor

QUESTION 70

A 28-year-old man presents to the dermatology clinic with spreading red-brown spots on the face and trunk. The patient describes the dyspigmentation as slightly itchy, scaly and episodic, with flares in the warmer months and improvement over the winter. He was prescribed triamcinolone 0.1% ointment by his primary care provider but feels that this has made it worse. On examination, there are multiple light pink and light brown papules coalescing into plaques with subtle overlying scale (70a

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