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[ArteFill]
[Athlete's Foot]
B
[Basal Cell Carcinoma]
[Behcet's Disease]
[Birt-Hogg-Dubé Syndrome]
[Botox]
[Bowel-Associated
Dermatosis Arthritis Syndrome]
[Bowen's Disease]
[Bullous Pemphigoid]
C
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[Cellulitis]
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Rhomboidalis Nuchae]
[Cymetra]
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D
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Coagulation]
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E
[Eczema]
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[Ehler's-Danlos Syndrome]
[Epidermolysis Bullosa]
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F
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[Fungal Culture]
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G
[Gestational Pemphigoid]
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H
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I
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[Lentigo]
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M
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[Morphea]
[Mucous Membrane Pemphigoid]
[Muir-Torre Syndrome]
[Mycosis Fungoides]
N
[Neonatal Acne]
[Neonatal Cephalic Pustulosis]
[Neurofibroma]
[Nevus]
[Nevus, dysplastic]
[New-Fill]
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O
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P
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[Polymorphous Light Eruption]
[Porokeratosis]
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Hypopigmentation]
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R
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[Restylane]
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S
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[Sweet's Syndrome]
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T
[Thrush]
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[Tinea Capitis]
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[Tinea Cruris]
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U
[Ulcer, oral]
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V
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W
[Wart]
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Candidiasis
What is candidiasis?
Skin candidiasis is an inflammatory response to epidermal
infection with the yeast Candida albicans. It appears as a strikingly red
area with "satellite" papules and, frequently, pustules. Tee primary risk
factor is a moist environment; it is common in diaper-wearing infants, patient's
with excessive skin folds (e.g. obesity), those who occupationally have
prolonged immersion of a body part in water (e.g. dishwashers), and in
hospitalized patients with moist occluded areas or on antibiotics. The rash is
pruritic (itchy) and burning. The organism favors moist intertrignous areas,
such as beneath the breasts, axillae, and finger webs. It typically occurs in
the perineal area in children and in women. Recurrent candidal vulvovaginitis in
women may be an indication of pregnancy, use of oral contraceptive pills,
diabetes mellitus, or antibiotic use. In hospitalized patients, perineal and
back involvement is common.
With what can candidiasis be confused?
The differential diagnosis includes
tinea cruris, intertrigo, miliaria,
folliculitis, and
contact dermatitis.
How is candidiasis diagnosed?
The KOH preparation from pustules or scale will show hyphae and
pseudohyphae. Important to not is that spores alone are not diagnostic of
candidal infection, since Candida albicans in yeast form can colonize
skin. The filamentous hyphal form of the organism is diagnostic of infection.
The hyphae of Candida albicans may not be easily distinguishable from those of
dermatophytic organisms. The clinical appearance is usually sufficient to
distinguish between these two infections. Biopsy is not necessary. Culture
is not definitive, since it cannot distinguish between colonization and
infection. Thou mouth should be examined for oral thrush.
How is candidiasis treated?
Candidiasis is treated with topical imidazole creams such as
clotrimazole (Lotrimin). The cream should be applied lightly to prevent further
occlusion. Generalized or widespread disease requires systemic antifungals such
as ketoconazole (Nizoral) or fluconazole (Diflucan). Predisposing conditions
must be corrected; any moist environments must be kept dry.
Buy Discounted Diflucan
What is the prognosis for candidiasis?
Topical treatment in most cases results in rapid resolution of
symptoms. Recurrence usually does not occur once predisposing factors have been
eliminated. Chronic and recurrent candidal infection of the skin or mucous
membranes may be sign of systemic disease, especially diabetes mellitus and AIDS
or other immunodeficient state. Systemic candidiasis occurs only in
immonucompromised individuals.
Date created 04/17/2007
Last updated
01/03/2009
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