Candidiasis

Diagnosis: Candidiasis

Papules and pustules in satellite array around an erythematous plaque at an intertriginous site (inframammary).

Clinical Presentation

Papules and pustules in satellite array around an erythematous plaque at an intertriginous site (inframammary).

Clinical History

Submitted by Alaa Saad. Originally posted October 2, 2010.

Treatment

See case discussion.

Differential Diagnosis

• Intertrigo • Tinea corporis/cruris • Erythrasma • Inverse psoriasis • Seborrheic dermatitis • Contact dermatitis

Key Learnings

• Caused by Candida species (primarily C. albicans) • Beefy red, macerated plaques with satellite pustules — pathognomonic • Predilection: intertriginous areas, oral cavity, vulvovaginitis, nail folds • Risk factors: diabetes, immunosuppression, antibiotics, moisture, obesity • Oral candidiasis (thrush): white plaques that scrape off revealing erythematous base • KOH: pseudohyphae and budding yeast cells

Tags: candidiasis, alaa saad