Pityriasis Versicolor – Causes, Symptoms, and Treatment of the Fungal Skin Infection

Pityriasis versicolor, also known as Tinea versicolor, is a common fungal infection of the skin. It is characterized by scaly patches and discoloration, which can range from lighter to darker than the surrounding skin. This condition is caused by an overgrowth of the fungus Malassezia, which is normally found on the skin.

The fungus Malassezia is found on the skin of most adults, but in some cases, it can grow out of control and cause an infection. The exact reasons for this overgrowth are not well understood, but it is believed to be linked to factors such as oily skin, high humidity, sweating, and a weakened immune system. Pityriasis versicolor is not contagious and can be easily treated with antifungal medications.

Common symptoms of pityriasis versicolor include itchy, scaly patches on the skin that can vary in size and color. These patches are more commonly found on the trunk, shoulders, and neck, but can also appear on the arms and legs. The affected areas may be lighter or darker than the surrounding skin, and the discoloration can be more prominent in people with darker skin tones.

Treatment for pityriasis versicolor typically involves the use of antifungal medications, including topical creams, lotions, or shampoos. These medications work by killing the fungus and preventing its growth. In some cases, oral antifungal medications may be prescribed for more severe or recurrent infections. It is important to follow the recommended treatment regimen and continue using the medication as directed, even if the symptoms improve, to ensure complete eradication of the fungus and prevent the infection from recurring.

What is Pityriasis Versicolor?

Pityriasis versicolor, also known as tinea versicolor, is a fungal infection of the skin that is caused by an overgrowth of a type of yeast called Malassezia. This condition typically presents as patches of discolored, scaly skin that can range in color from white to pink, tan, or brown. The affected areas may appear lighter or darker than the surrounding skin, and they can be itchy or cause no discomfort at all.

Pityriasis versicolor most commonly affects the chest, back, and upper arms, although it can occur on other parts of the body as well. The infection thrives in warm and humid environments, making it more common in tropical and subtropical regions. It is not contagious and cannot be spread from person to person.

Treatment options for pityriasis versicolor depend on the severity and extent of the infection. Topical antifungal medications, such as creams, lotions, or shampoos, are often prescribed to combat the fungal overgrowth. In severe cases, oral antifungal medications may be necessary to clear the infection. It is important to continue treatment as directed, even if symptoms improve, to prevent recurrence.

Keeping the skin clean and dry, avoiding excessive sweating, and wearing loose-fitting clothing can help prevent the recurrence of pityriasis versicolor. If you suspect you have this condition, it is best to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Cause of Pityriasis Versicolor

Pityriasis Versicolor is a common skin infection caused by an overgrowth of a type of yeast called Malassezia. This yeast naturally resides on our skin, but under certain conditions, such as a warm and humid environment, it can grow excessively.

The overgrowth of Malassezia leads to the development of scaly, itchy patches of discolored skin. These patches, also known as pityriasis versicolor, may appear lighter or darker than the surrounding skin, and can be white, pink, tan, or brown in color.

The exact reason for the overgrowth of Malassezia is still unknown, but several factors can contribute to its occurrence. These factors include:

  • Hot and humid weather: The warm and moist conditions provide an ideal environment for the fungus to proliferate.
  • Oily skin: Malassezia feeds on the oil produced by the sebaceous glands, so individuals with oily skin are more prone to develop the infection.
  • Hormonal changes: Fluctuations in hormonal levels, such as those occurring during puberty, pregnancy, or while taking hormonal medication, can increase the risk of pityriasis versicolor.
  • Weak immune system: People with weakened immune systems, such as those with HIV/AIDS or undergoing immunosuppressive therapy, are more susceptible to fungal infections like pityriasis versicolor.
  • Tight clothing or excessive sweating: Wearing tight-fitting clothes or excessive sweating can create a favorable environment for the fungus to thrive.

If you suspect that you have pityriasis versicolor, it is recommended to consult a dermatologist for an accurate diagnosis and appropriate treatment. The dermatologist may prescribe antifungal medications, such as topical creams or oral medications, to eliminate the infection and restore the normal color of the skin.

Symptoms of Pityriasis Versicolor

Pityriasis Versicolor is a common skin infection caused by an overgrowth of the fungal yeast Malassezia furfur. This condition typically manifests through the appearance of small patches on the skin that are usually lighter or darker than the surrounding skin. The patches may be white, pink, red, or brown in color, leading to discoloration of the affected areas.

One of the main symptoms of Pityriasis Versicolor is itching. The affected skin is often itchy and may cause discomfort or irritation. Scratching the affected areas can worsen the symptoms and may lead to further inflammation.

Pityriasis Versicolor commonly affects areas of the body that have many oil glands, such as the back, chest, and upper arms. The patches may also appear on the neck, face, or other areas of the body.

It is important to note that the appearance and symptoms of Pityriasis Versicolor can vary from person to person. Some individuals may have a mild and localized infection, while others may experience more extensive discoloration and itching.

If you suspect that you have Pityriasis Versicolor, it is recommended to consult a healthcare professional for an accurate diagnosis. Treatment options may include antifungal medications, such as topical creams or oral tablets, to help clear the infection and restore the skin to its normal appearance.

Diagnosing Pityriasis Versicolor

Pityriasis Versicolor, also known as tinea versicolor, is a common fungal infection that affects the skin. It is characterized by the presence of itchy, scaly, and discolored patches on the skin.

To diagnose Pityriasis Versicolor, a healthcare professional will typically perform a physical examination of the affected skin. They may use a Wood’s lamp, which emits ultraviolet light, to detect any fluorescence in the affected areas. This can help distinguish Pityriasis Versicolor from other skin conditions.

Additionally, the healthcare professional may collect a sample of the skin cells from the affected area for further examination under a microscope. This can help confirm the presence of the fungus responsible for the infection.

It is important to keep in mind that Pityriasis Versicolor can often be mistaken for other skin conditions, such as psoriasis or vitiligo. Therefore, a comprehensive evaluation is necessary for an accurate diagnosis.

Once the diagnosis is confirmed, treatment options can be discussed with the healthcare provider. This may include topical antifungal creams, shampoos, or oral medications, depending on the severity and extent of the infection.

Regular follow-up appointments may be necessary to monitor the progress of the treatment and ensure that the infection does not recur. It is also important to maintain good hygiene and avoid factors that contribute to the overgrowth of the fungus, such as excessive sweating or humid environments.

If you suspect that you may have Pityriasis Versicolor or any other skin condition, it is recommended to consult a healthcare professional for an accurate diagnosis and appropriate treatment.

Treatment Options for Pityriasis Versicolor

Pityriasis versicolor is a common fungal infection that causes scaly patches and discoloration on the skin. While this condition is not harmful or contagious, it can cause itchiness and discomfort for those affected.

The main goal of treatment for pityriasis versicolor is to reduce the fungal overgrowth and restore the color of the affected skin. There are several treatment options available, including:

Treatment Description
Antifungal Creams Topical antifungal creams containing ingredients like ketoconazole or selenium sulfide can be applied directly to the affected area. These creams help to kill the fungus and reduce symptoms.
Antifungal Shampoos For pityriasis versicolor affecting the scalp or other hairy areas, antifungal shampoos may be recommended. These shampoos should be left on the skin for a few minutes before rinsing off.
Oral Antifungal Medications In more severe or persistent cases of pityriasis versicolor, oral antifungal medications may be prescribed. These medications work from the inside out to eliminate the fungal infection.
Sun Exposure Exposing the affected skin to sunlight or ultraviolet light can help to improve the appearance of pityriasis versicolor. However, it is important to protect the skin from excessive sun exposure to prevent sunburn.
Maintaining Good Hygiene Keeping the skin clean and dry can help to prevent the growth of fungi and reduce the risk of recurrence. It is important to use gentle cleansers and to dry the affected areas thoroughly.

If you suspect that you have pityriasis versicolor, it is recommended to consult with a healthcare professional for an accurate diagnosis and appropriate treatment plan.

Over-the-Counter Medications for Pityriasis Versicolor

Pityriasis versicolor, also known as tinea versicolor, is a common fungal infection of the skin that can cause patches of scaly and discolored skin. It is caused by an overgrowth of yeast that normally lives on the skin. While prescription medications are often used to treat pityriasis versicolor, there are also over-the-counter options available for mild cases. These medications contain antifungal ingredients that can help to eliminate the fungal infection and relieve symptoms.

Medicated Shampoos

One common over-the-counter treatment for pityriasis versicolor is medicated shampoo. These shampoos typically contain antifungal agents such as selenium sulfide or ketoconazole. These ingredients help to kill the fungus on the skin and scalp, reducing the appearance of patches and relieving itchiness. To use, simply apply the shampoo to the affected areas and leave it on for the recommended amount of time before rinsing off.

Topical Creams and Lotions

Another over-the-counter option for treating pityriasis versicolor is the use of topical creams and lotions. These products often contain ingredients such as clotrimazole or miconazole, which are antifungal agents. They can be applied directly to the affected areas of skin to help eliminate the fungal infection and reduce symptoms. It is important to follow the instructions provided with the product and continue using it for the recommended duration to ensure effective treatment.

While over-the-counter medications can be effective for treating mild cases of pityriasis versicolor, it is important to consult a healthcare professional if symptoms persist or worsen. They can provide further guidance and recommend stronger prescription treatments if necessary. Additionally, it is important to practice good hygiene, such as regularly washing and drying the affected areas of skin, to help prevent the recurrence of the fungal infection.

Prescription Medications for Pityriasis Versicolor

Pityriasis versicolor, also known as tinea versicolor, is a common fungal infection of the skin. It is characterized by scaly patches that can be lighter or darker than the surrounding skin. This infection is caused by an overgrowth of a type of yeast called Malassezia, which is normally present on the skin.

Treatment options

There are several prescription medications that can be used to treat pityriasis versicolor. These medications are available in the form of creams, lotions, shampoos, and oral tablets or capsules.

Topical antifungal creams and lotions are often the first line of treatment for pityriasis versicolor. These medications work by inhibiting the growth of the fungus on the skin. Examples of commonly used topical antifungal medications include ketoconazole, clotrimazole, and miconazole.

In some cases, oral antifungal medications may be prescribed if the infection is severe or does not respond to topical treatments. These medications are taken by mouth and work by killing the fungus throughout the body. Examples of oral antifungal medications include fluconazole, itraconazole, and terbinafine.

Itchy relief

Itchy skin is a common symptom of pityriasis versicolor. To alleviate itching, doctors may prescribe antihistamines or corticosteroids. Antihistamines help to reduce itching by blocking histamine receptors in the body, while corticosteroids help to reduce inflammation and itching.

It is important to follow the prescribed treatment plan and complete the full course of medication to effectively treat pityriasis versicolor. In addition, maintaining good hygiene and practicing good skin care can help prevent future flare-ups of the infection.

Antifungal Shampoos for Pityriasis Versicolor

Pityriasis versicolor, also known as tinea versicolor, is a common fungal infection that affects the skin. It is characterized by the presence of scaly patches, discoloration, and itchiness on the affected areas. The condition is caused by the overgrowth of the fungus Malassezia, which is naturally found on the skin but can multiply under certain conditions.

One of the most effective treatments for pityriasis versicolor is the use of antifungal shampoos. These shampoos contain active ingredients that are specifically designed to target and kill the fungus, helping to reduce the symptoms of the infection.

Antifungal shampoos for pityriasis versicolor typically contain ingredients such as ketoconazole, selenium sulfide, or pyrithione zinc. These ingredients have been found to be effective in inhibiting the growth of the fungus and reducing the associated symptoms.

When using antifungal shampoos, it is important to follow the instructions provided by the manufacturer. Generally, the shampoo should be applied to the affected areas and left on for a few minutes before rinsing off. It is recommended to use the shampoo regularly for a specified period of time, as directed by a healthcare professional.

It is also worth noting that antifungal shampoos may cause some side effects, such as dryness or irritation of the skin. If these side effects occur, it is advisable to consult a healthcare professional for further guidance.

In conclusion, antifungal shampoos are a valuable treatment option for pityriasis versicolor. They can help to alleviate the symptoms of this fungal infection, including scaly patches, discoloration, and itchiness. However, it is important to use these shampoos as directed and to consult a healthcare professional if any side effects occur.

Preventing Pityriasis Versicolor

Pityriasis versicolor is a fungal infection that affects the skin, causing scaly patches and discoloration. While treatment can effectively eliminate the infection, taking preventive measures can help reduce the risk of developing the condition.

1. Maintain good hygiene

Keeping your skin clean and dry is essential in preventing pityriasis versicolor. Regularly wash your body with a gentle cleanser and pay special attention to areas prone to sweating, such as underarms, groin, and neck. Use a separate towel or cloth to pat these areas dry, as moisture can contribute to fungal growth.

2. Avoid excessive sweating

Excessive sweating can create a humid environment on the skin, which can promote the growth of fungi. To prevent this, avoid activities that cause excessive sweating, keep your body cool in hot weather, and wear loose-fitting, breathable clothing made of natural fabrics.

Additionally, consider using antiperspirants or powders to help control sweating and keep the skin dry.

If you notice any itchy or discolored patches on your skin, consult a dermatologist. Early diagnosis and prompt treatment can help prevent the spread of the infection and minimize the risk of recurrence.

Complications of Pityriasis Versicolor

Pityriasis versicolor is a common skin condition caused by the overgrowth of yeast on the skin. While it is generally harmless, complications can arise in some cases.

Infections:

One of the possible complications of pityriasis versicolor is secondary infection. When the patches of itchy and scaly skin are scratched, they may become open wounds that can be susceptible to bacterial or fungal infection. It is important to keep the affected areas clean and dry to prevent this complication.

Discoloration:

Pityriasis versicolor can cause discoloration of the skin, especially in individuals with darker skin tones. The patches of affected skin may become lighter or darker than the surrounding skin, leading to noticeable discoloration. While this discoloration is usually temporary and resolves after treatment, it can be a cosmetic concern for some individuals.

In conclusion, while pityriasis versicolor is not a serious condition, it can lead to complications such as skin infections and discoloration. Prompt treatment and proper skin care can help prevent these complications and manage the symptoms of this condition.

When to See a Doctor for Pityriasis Versicolor

If you notice any unusual changes in your skin, it is important to see a doctor for proper evaluation and treatment. Pityriasis versicolor, also known as tinea versicolor, is a fungal infection that can cause discoloration, patches, and scaly, itchy skin. While the condition itself is not harmful, it can be bothersome and affect your self-confidence.

If you have tried over-the-counter treatments and they have not improved your symptoms, it may be time to seek medical attention. A doctor can properly diagnose pityriasis versicolor and provide you with the appropriate treatment options. They may prescribe antifungal medications in the form of creams, lotions, or oral medications to help clear the fungal overgrowth on your skin.

In some cases, pityriasis versicolor can return after treatment, especially in people who are prone to fungal infections. If this happens, it is recommended to see a doctor again for further evaluation and treatment. They may suggest additional or alternative treatment options to effectively manage the condition and prevent recurrences.

Additionally, if you have other symptoms accompanying your skin discoloration, such as severe itching, pain, or inflammation, it is important to see a doctor. These symptoms could indicate a more serious underlying condition or a secondary infection that may require medical intervention.

Overall, it is best to seek medical advice if you have persistent or worsening symptoms of pityriasis versicolor. A doctor can provide the appropriate diagnosis and guide you towards the most effective treatment plan for your specific case.

Home Remedies for Pityriasis Versicolor

Pityriasis versicolor is a common skin infection caused by an overgrowth of a type of fungus called Malassezia. It typically presents as itchy, scaly patches of discolored skin. While there are various medical treatments available for pityriasis versicolor, there are also some home remedies that can help alleviate symptoms and promote healing.

One popular home remedy for pityriasis versicolor is applying apple cider vinegar to the affected areas. Apple cider vinegar has antifungal properties that can help kill the fungus causing the infection. Dilute the vinegar with water and apply it to the skin using a cotton ball or a clean cloth. Leave it on for a few minutes, then rinse it off with warm water. Repeat this process a few times a day for best results.

Tea tree oil is another natural remedy that can be effective in treating pityriasis versicolor. It has antifungal properties and can help reduce the overgrowth of the fungus. Mix a few drops of tea tree oil with a carrier oil, such as coconut oil or olive oil, and apply it to the affected areas. Leave it on for some time before rinsing it off. Repeat this process daily until the infection clears up.

Aloe vera gel is known for its soothing and healing properties, and it can also be beneficial in treating pityriasis versicolor. Apply fresh aloe vera gel directly to the affected areas and leave it on for about 15 minutes before rinsing it off. Aloe vera gel can help relieve itching and reduce skin inflammation, promoting faster healing.

Garlic is a powerful antifungal agent and can be used to combat the overgrowth of the fungus causing pityriasis versicolor. Crush a few garlic cloves and apply the paste to the affected areas. Leave it on for a few minutes before rinsing it off. Repeat this process daily until the infection clears up.

In addition to these home remedies, maintaining good hygiene and practicing proper skin care can also help prevent and manage pityriasis versicolor. Keep the affected areas clean and dry, and avoid excessive sweating. Wear loose-fitting clothing made from breathable fabrics and avoid sharing towels or personal items with others.

Home Remedies for Pityriasis Versicolor
– Apple cider vinegar
– Tea tree oil
– Aloe vera gel
– Garlic

Alternative Treatments for Pityriasis Versicolor

While there are various conventional treatments available for pityriasis versicolor, some individuals may be interested in trying alternative treatment options. These alternative treatments aim to address the fungal infection that causes the condition and relieve symptoms such as itchy and scaly patches on the skin.

1. Tea Tree Oil: Tea tree oil has antifungal properties and may help reduce the overgrowth of the fungus responsible for pityriasis versicolor. Dilute tea tree oil with a carrier oil, such as coconut oil, and apply it to the affected areas several times a day.

2. Apple Cider Vinegar: Apple cider vinegar has antimicrobial properties and can help rebalance the pH level of the skin, making it less hospitable for the fungus. Mix equal parts of apple cider vinegar and water, and then apply to the affected areas with a cotton ball. Rinse off after a few minutes.

3. Aloe Vera: Aloe vera has soothing and antimicrobial properties, which can help alleviate the itching and inflammation associated with pityriasis versicolor. Apply fresh aloe vera gel directly to the affected areas twice daily.

4. Garlic: Garlic has natural antifungal properties and may help inhibit the growth of the fungus causing pityriasis versicolor. Crush a few garlic cloves and mix them with olive oil to create a paste. Apply the paste to the affected areas and leave it for 30 minutes before rinsing off.

5. Coconut Oil: Coconut oil contains antifungal compounds that can help combat the fungal infection responsible for pityriasis versicolor. Apply virgin coconut oil to the affected areas multiple times a day, leaving it on for as long as possible before rinsing off.

It’s important to note that while alternative treatments may provide relief for some individuals, they may not work for everyone. It’s always best to consult with a healthcare professional before trying any alternative treatment for pityriasis versicolor.

Managing Pityriasis Versicolor

Pityriasis versicolor is a common fungal infection that affects the skin. It is caused by an overgrowth of a type of fungus known as Malassezia. The infection leads to the development of small, discolored patches on the skin, often appearing on the chest, back, and shoulders. These patches may be itchy and cause discomfort for those affected.

Treatment for pityriasis versicolor typically involves the use of antifungal medications. These medications can be applied topically in the form of creams, lotions, or shampoos. In some cases, oral antifungal medications may be prescribed if the infection is severe or widespread.

It is important to follow the prescribed treatment regimen and complete the full course of medication, even if the symptoms improve or disappear. Failure to do so may result in the recurrence of the infection.

In addition to medication, there are several self-care measures that can help manage pityriasis versicolor. These include:

1. Keeping the affected areas clean and dry: It is essential to maintain good hygiene by regularly washing the affected areas with a mild soap and water. After washing, thoroughly dry the skin using a clean towel or a hairdryer set on a low heat setting.

2. Avoiding excessive sweating: Sweat can contribute to the growth of the fungus, so it is important to avoid activities or environments that cause excessive sweating. Wear loose-fitting clothing made from natural fibers that allow the skin to breathe.

3. Avoiding oily or greasy products: Oily or greasy products, such as moisturizers or oils, can trap moisture and create a favorable environment for fungal growth. Stick to non-comedogenic, oil-free products that won’t clog the pores.

4. Avoiding sun exposure: Pityriasis versicolor can cause uneven skin coloration, and sun exposure can make the patches more noticeable. Protect the affected areas from the sun by wearing protective clothing and using sunscreen with a high SPF.

5. Avoiding sharing personal items: Fungal infections can be contagious, so it is important to avoid sharing personal items such as towels, clothing, or hairbrushes with others to prevent the spread of the infection.

By following these self-care measures and completing the prescribed treatment, individuals with pityriasis versicolor can effectively manage the condition and prevent future episodes. If symptoms persist or worsen despite treatment, it is advisable to consult a healthcare professional for further evaluation and guidance.

Living with Pityriasis Versicolor

Pityriasis versicolor is a common fungal infection that affects the skin, causing itchy and scaly patches. These patches can vary in color, ranging from lighter to darker than the surrounding skin. While this condition is typically harmless, it can be persistent and affect a person’s self-esteem.

Those living with pityriasis versicolor may experience recurrent flare-ups, especially in warm and humid climates. The overgrowth of the fungal organism, known as Malassezia, on the skin can lead to the development of the characteristic discoloration and scaling. This can be particularly bothersome during the warmer months when people are more likely to wear revealing clothing.

Treatment for pityriasis versicolor usually involves antifungal medications, such as creams, lotions, or shampoos, which can help to kill the fungus and alleviate the symptoms. However, it is important to follow the prescribed treatment regimen and continue using the medication for the recommended duration, even if the symptoms improve.

In addition to using medication, there are some lifestyle changes that individuals with pityriasis versicolor can make to manage their condition. These include:

  • Good hygiene: Regularly cleansing the affected areas of the skin can help to prevent the overgrowth of the fungus and reduce the risk of flare-ups.
  • Avoiding excessive sweating: Sweat can create a moist environment that promotes fungal growth. It is important to keep the skin cool and dry, especially in areas prone to sweating.
  • Avoiding tight-fitting clothing: Wearing loose-fitting clothing can help to reduce friction and irritation on the skin, which can worsen the symptoms of pityriasis versicolor.
  • Taking preventive measures: Applying antifungal creams or powders to areas prone to infection, such as the armpits or groin, can help to prevent the overgrowth of the fungus.
  • Seeking medical advice: If the symptoms of pityriasis versicolor persist or worsen despite treatment, it is important to consult a healthcare professional for further evaluation and guidance.

Living with pityriasis versicolor can be challenging, but with proper treatment and management strategies, individuals can minimize the impact of this fungal infection on their daily lives. By practicing good hygiene, avoiding excessive sweating, and taking preventive measures, it is possible to reduce the frequency and severity of flare-ups and maintain healthy skin.

Q&A:

What is pityriasis versicolor?

Pityriasis versicolor, also known as tinea versicolor, is a common skin condition caused by a yeast-like fungus called Malassezia.

What are the symptoms of pityriasis versicolor?

Common symptoms of pityriasis versicolor include patches of discolored skin that may be lighter or darker than the surrounding skin, itching, and scaling.

How is pityriasis versicolor diagnosed?

Pityriasis versicolor is usually diagnosed based on the characteristic appearance of the skin lesions. A doctor may also perform a skin scraping or use a special light called a Wood’s lamp to confirm the diagnosis.

What causes pityriasis versicolor?

Pityriasis versicolor is caused by the overgrowth of the yeast-like fungus Malassezia. Factors that can contribute to this overgrowth include hot and humid weather, excessive sweating, oily skin, and a weakened immune system.

How is pityriasis versicolor treated?

Pityriasis versicolor can be treated with antifungal medications, such as topical creams, shampoos, or oral medications. In addition, maintaining good hygiene, avoiding excessive sweating, and wearing breathable clothing can help prevent recurrences of the condition.

What is pityriasis versicolor?

Pityriasis versicolor, also known as tinea versicolor, is a common fungal infection of the skin. It is caused by the overgrowth of a type of yeast called Malassezia on the skin’s surface.

What are the common symptoms of pityriasis versicolor?

The common symptoms of pityriasis versicolor include patches of discolored skin, usually light or dark, on the chest, back, neck, or arms. The patches may be scaly or itchy, and they can sometimes become more noticeable in hot weather or after sun exposure.

How is pityriasis versicolor diagnosed?

Pityriasis versicolor is usually diagnosed through a physical examination by a dermatologist. The doctor may use a special light called a Wood’s lamp to examine the affected skin, or may take a sample of skin cells to be examined under a microscope.

What is the treatment for pityriasis versicolor?

Treatment for pityriasis versicolor usually involves the use of antifungal medications, such as topical creams or oral tablets. These medications help to kill the yeast on the skin and prevent it from coming back. It may take several weeks or months for the skin to return to its normal color after treatment.