Candidiasis

Question 1

Three main causes of vaginal infections

Answer 1

Bacterial vaginosis, candidiasis, and trichomoniasis

Question 2

Oral candidiasis, chronic

Answer 2

If on the buccal mucosa and no organisms found on microscopy, need to r/o lichen planus and leukoplakia

Question 3

Candida balanitis

Answer 3

Presence of tender pinpoint pustules is very characteristic on the penis (circumsized penis is more likely to develop)

Question 4

Candida intertrigo

Answer 4

dont often see the pustules due to skin apposition, but can see them outside the area as satellite lesions

Question 5

Intertrigo

Answer 5

Inflammation of the skin folds that can be treated with 1-2 week course of topical steroids (hydrocortisone/desonide)
- barrier creams to prevent recurrence!!

Question 6

DDx of diaper candidiasis

Answer 6

Psoriasis, seb derm, langerhans cell histiocytosis, acrodermatitis enteropathica (zinc deficiency), biotin deficiency, Kawasaki dz, and HIV infxn

Question 7

Other locations of candidiasis

Answer 7

Finger and toe webs, angles of mouth (perleche)

Question 8

Angular chelitis

Answer 8

Often a combination of eczema, candida, and bacterial infection
- tx with lotrisone