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Itraconazole in the treatment of widespread tinea versicolor

Pityriasis versicolor affects 35% of patients between the ages of 15 and 50 in our family practice in the subtropical seaport city of Durban. Whilst most cases are mild with involvement of only a small surface area, usually of the trunk, there is a sizeable reservoir of patients with severe and widely disseminated lesions who have had numerous relapses despite a variety of topical treatments, and many of them have all but given up hope of ever having a normal skin. In a climate which allows year-round swimming this can be an intolerable burden, especially for the younger patients.