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it will be persistent if you don't treat , it and again it takes several weeks of , the treatment to get it to resolving , vesicular is a very common fungal , infection that we see here inflated , and it's caused bay fungus called , Malaysia fervor and the fungus actually , causes hypo pigmentation or lightening , of the skin it also causes little bit , of scale in the skin the fungus will be , on a surface that our skin comes , directly in contact with but we don't , have clothing and we get that the fungus , on the skin just a small area of it and , then it starts to grow on the skin and , what happens is we go in the shower we , dry off after with a towel and we start , to push the fungus over the surface of , the skin so over time you'll get , increasing sizes of the hypo , pigmentation or lightening of the skin , you'd want to see a specialist if you , started to notice the hypo pigmentation , was becoming more noticeable for , cosmetic purposes you'd also want to see , the specialist if you'vie developed some , scaling and some of the itching and , other symptoms that we see we'll treat , the patient depending on the extent of , the disease either topically or , topically with an oral medication , topically we tend to use an anti fungal , medicine and we like to use console , shampoo which is an antifungalshampoo , but we don't use it as a shampoo on the , skin where the the yeast exists or the , fungus exists we use it as a body wash , and we have the patient place it on the , skin for one to two minutes and let it , sit there and then they was hit off and , we typically have them do that for about , two to three weeks and that will get rid , of the fungus and allow the skin color , to come back to normal and resolve the , symptoms of itching and scaling if it's , a more extensive disease process we're , involving greater portion of the body , or if outdoes't respond to the topical , medications we use an oral medication , called fluconazolewhich the patient , takes for seven days the other thing , that we like to advise the patient , Stella patients to do while they're , going through the treatment is that any , clothing that comes in direct contact , with the skin needs to be worn one time , and then washed and baths ours are to be , used one time , and then washed if not the yeast will , exist on those surfaces and you'll just , reimplantationtend to pick this up in , public places that they frequent like a , gym and so they re exposed and so , typically we'll tell patients to treat , themselves prophylacticallywith the , console shampoo on their skin once , or twice a month each month so that they , don't get the the symptoms and the , clinical findings .
