A 4-month-old infant girl in good health was examined for hypopigmented macules on the face that had been noted at the age of 2 months. On physical examination, numerous confluent hypopigmented macules with fine scales located on the frontal area of the face were noted (Figure 1c).
In both cases, examinations using a Wood's lamp showed hypopigmented processes in the aforementioned areas and also yellowish fluorescence on some lesions. A potassium hydroxide (KOH) examination revealed yeast and short mycelial forms resembling 'ziti and meatballs,' which supported the diagnosis of PV (Figure 1d).
These patients were treated with 1% clotrimazole lotion (twice a day) for four weeks. After treatment, the lesions were still present but with less severity and KOH smears showed negative results for fungal elements. Written informed consent was given by the parents of the patients.