Candidosis
Lawrence Charles Parish
(ICD-9 112.9)
Symptoms and Signs
Candida infection on the skin can be asymptomatic or pruritic and burning. Previously called monilial dermatitis, it is a yeast infection, most often caused by Candida albicans, an organism that is a frequent inhabitant of the gut and the vagina. Candidosis is characterized by red papules and macules that may become confluent, leaving isolated or “satellite” papules and macules at the periphery (Fig. 19-1). Occasionally, the areas become raw, eroded, and begin to ooze. It is often found in the intertriginous areas such as the groin, on the perianal region, and under the breasts, particularly in obese patients. Candida balanitis and Candida vulvovaginitis often ping-pong between partners. The history may reveal that the patient had diarrhea several days before the onset of the dermatitis or that the female partner has had a vaginal discharge. Diabetics are predisposed to candidosis, and the condition can be florid in immunocompromised patients.