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Histological examination of the hyperpigmented lesions, originally thought to represent normal skin, revealed findings consistent with lichen planus pigmentosus. Due to the clinical-histological discordance, a Scotch test was performed, which identified fungal elements consistent with pityriasis versicolor (PV). Treatment with oral fluconazole resulted in rapid resolution of symptoms, highlighting the importance of reconsidering initial diagnoses when clinical and investigative findings are discordant and the efficacy of timely antifungal therapy.<\/jats:p>","DOI":"10.1093\/omcr\/omaf105","type":"journal-article","created":{"date-parts":[[2025,7,14]],"date-time":"2025-07-14T14:47:41Z","timestamp":1752504461000},"source":"Crossref","is-referenced-by-count":0,"title":["When Pityriasis Versicolor wears a vitiligo mask: a puzzle in an immunocompromised patient"],"prefix":"10.1093","volume":"2025","author":[{"given":"Fikri","family":"Chaimaa","sequence":"first","affiliation":[{"name":"Dermatology Department, Mohammed VI CHU, Faculty of Medicine and Pharmacy-Cadi Ayyad University , Marrakesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lalla Safia","family":"Echarif","sequence":"additional","affiliation":[{"name":"Dermatology Department, Mohammed VI CHU, Faculty of Medicine and 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