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Benign guttate hypomelanosis

These are discrete, non-scaly, porcelain-white macules, lacking the fine scale and confluent nature of pityriasis versicolor.

Cafe au lait spots

These are uniformly light brown patches that are not scaly and are negative on a KOH test.

Pityriasis alba

This condition presents as ill-defined, hypopigmented patches on the face of children and lacks the fine scale that is a key feature of pityriasis versicolor.

Post inflammatory hyperpigmentation

This follows a prior inflammatory condition and lacks the fine scale seen on stretching the skin in pityriasis versicolor.

Post inflammatory hypopigmentation

This is distinguished by a history of preceding inflammation and a lack of scaling or positive KOH test.

Vitiligo

Vitiligo patches are completely depigmented (chalk-white) and non-scaly, whereas pityriasis versicolor patches are hypopigmented and have a fine scale.

lichen sclerosus

This is characterized by atrophic, porcelain-white plaques, a different texture and pathology.

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