Cutaneous candidiasis is a superficial infection occurring on moist, occluded cutaneous sites; many patients have predisposing factors such as increased moisture at the site of infection, diabetes, or alterations in systemic immunity.
Causes of Cutaneous Candidiasis
Cutaneous candidiasis involves infection of the skin with candida. It may involve almost any skin surface on the body, but usually occurs in warm, moist, creased areas (such as armpits and groins). Cutaneous candidiasis is fairly common.
Symptoms of Cutaneous Candidiasis
- itching (may be intense)
- blisters resembling spots are often seen around the itchy patches.
- a small degree of scaling.
- infection of hair follicles (“folliculitis”) may have a pimple-like appearance
Diagnosis
Clinical findings confirmed by direct microscopy or culture.
Treatment
Topical treatment
- Castellani’s paint Brings almost immediate relief of symptoms, i.e., candidal paronychia.
- Glucocorticoid preparation Judicious short-term use speeds resolution of symptoms.
Topical antifungal agents Antiungal preparation: Nystatin, azole, or imidazole cream bid or more often with diaper dermatitis. Tolnaftate not effective for candidiasis. Torbinafine may be effective.
Oral antifungal agents Eliminate bowel colonization. Azoles treat cutaneous infection.
Prevention
- Keep intertriginous areas dry (often difficult). Washing with benzoyl peroxide bar may reduce Candida colonization.
- Powder with miconazole applied daily.
References