A 46-year-old woman was diagnosed with an unusual presentation of tinea versicolor, a common fungal skin infection, where the fungus centered around hair follicles rather than appearing as typical patches. The condition was successfully treated with antifungal medications, though some changes persisted. The doctors noted that the patient’s history of keratosis pilaris (a common bumpy skin condition on the arms and thighs) may have contributed to this unusual follicle-focused presentation.