<prompt> Spaghetti and meat ball appearance is seen inPityriasis versicolorAspergillusCandidaDermatophytes  <response>: Pityriasis versicolor nea versicolorTinea versicolor is a misnomer as it is not caused by a dermatophyte; it is caused by a nondermatophyc fungus called Pitvrosporum ovale Malassezia furfur. Usually affects young adults.Clinical featuresThere are multiple scaly hypopigmented more common or hyperpigmented macules.Scaling is furfuraceous or rice powder like. Macules start around the hair follicles and they merge with each other to form large areas.Affects trunk and shoulders mainly chest and back. There may be loosening of scales with fingernails- coupled only or stroke of the nail.Lesions are recurrent in nature. Diagnosis1. Examination of scales in 10 KOH shows short hyphae and round spores s phage and meatball appearance.Woods lamp shows apple green fluorescenceblue-green fluorescence.2. Skin surface biopsy - a cyanoacrylate adhesive is used to separate the layer of stratum comeum on a glass slide and then stained with PAS reagent. Treatment1. Systemic agentssystemic azoles provide convenient therapeuc opon. Drugs used are ketokonazole, fluconazole or iatroconazole2. Topical anfungals used are - a. Azolesclotrimazole, econazole, miconazole, ketoconazoleb. Others selenium sulphide, sodium thiosulphate, whitefields ointment 3 salicylic acid 6 benzoic acid. 