Tinea versicolor is a mild, superficial Malassezia infection of the skin. The condition has a high reoccurrence rate after treatment. Patients often report the malady after discovering an area of their skin that will not tan and, mistaken the disease as well as the resulting hypopigmentation for vitiligo. A few patients will also present with itching and velvety, tan, pink, or white macules or thin papules. Large, blunt hyphae, and thin walled budding spores will appear on the KOH. The patient can be treated with selenium sulfide lotion (applied from neck to waist every day and left on for five to fifteen minutes for seven days). This treatment is repeated weekly for a month and then monthly for maintenance. Ketoconazole shampoo (1% or 2%) lathered on the chest and back and left on for five minutes can also be used for treatment. Two doses of oral fluconazole (300 mg) fourteen days apart is the first-line treatment. Imidazole creams, solutions, and lotions are quite effective for localized areas but are too expensive for use over large areas such as the chest and back.