Cutaneous Candidiasis

Aka: Cutaneous Candidiasis

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II. Risk Factors

  1. Diabetes Mellitus
  2. Systemic Antibiotics
  3. Ill-fitting dentures
  4. Pregnancy
  5. Immunodeficiency
  6. Elderly
  7. Hypoparathyroidism
  8. Hypothyroidism
  9. Iron Deficiency Anemia
  10. Zinc Deficiency

III. Exam: Distribution

  1. Intertrigo
  2. Paronychia
  3. Perioral Dermatitis
  4. Cheilitis
  5. Balanitis

IV. Differential Diagnosis

  1. Oral Mucositis
  2. Drug allergy
  3. Leukoplakia
  4. Herpes Simplex Virus (HSV)
  5. Bacterial Infection (e.g. Impetigo)
  6. Eczematous Dermatitis
  7. Dermatophyte
    1. See Differential Diagnosis for Tinea Cruris

V. Labs

  1. KOH Preparation
    1. Pseudohyphae

VI. Management

  1. See Candidiasis
  2. See Candida Diaper Dermatitis
  3. See Candida Vulvovaginitis
  4. Topical anti-fungal
    1. Nystatin
    2. Ciclopirox
    3. Imidazole cream

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