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Reflectance confocal microscopy of pityriasis versicolor. Malassezia spores/meatballs (red arrow) and hyphae/spaghetti (yellow arrow) present in the stratum corneum (A). Presence of fungi can induce secondary morphological changes: hyperkeratotic plug (red arrow) inside the hair follicle (B); elongated vessels (red arrow) and vessels inside papillae (yellow arrow) present at the same level as the lower epidermal layers (C); epidermal spongiosis (yellow arrow) (D). Magnification 500×
