Tinea versicolor

Typically presents as a variegate skin discoloration. The causative agent is a fungus Malassezia furfur. Patients are commonly unaware of it as it neither itches nor does it hurt. This patient - who is in her thirties believed this to be a normal part of sun-exposed skin and used sunscreen to protect this from happening. Treatment of choice is Ketoconazole, 400 mg x 1 dose only. It will clear over the next few weeks as the pigmentation is redone in the now non-infected skin.

Malassezia furfur:  Its claim to fame is its association with intralipid infusions where malassezia is the cause of systemic fungemia.