Cutaneous Yeast Infections -Pham

Question 1

What are the anti-yeast medications available?

Answer 1

Imidazoles:
-Nizoral cream/shampoo (ketoconazole)

Hydroxypyridone:
-Lorpox (topical)

Polyene
-Nystatin cream

Oral:

• Diflucan*
• Nizoral*

Question 2

Does mucocutaneous candidiasis generally affect the scrotum?

Answer 2

YES. Yeasts affect the scrotum

Question 3

What type of infection will present with patches and thin plaques with satellite papules?

Answer 3

Interigo (candida albicans colonizing the skin folds –> red, pruritic, macerated)

Question 4

What is the treatment for Interigo? What is used for prevention?

Answer 4

• Nizoral and HC cream
• Nizoral and Desonide cream
• Zeasorb AF powder or Nystatin powder for prevention
• ZNP bar soap

Question 5

Where is perleche/angular cheilitis commonly found?

Answer 5

commonly seen in lip lickers and in the elderly with sagging skin at oral commisures

Question 6

What is chronic paronychia? What are the physical exam findings? What is the treatment?

Answer 6

• Candida infection of the nail
• More often in patients with diabetes or those who immerse their hands in water frequently
• Redness, swelling, tenderness of the proximal nail fold
• Retraction of the cuticle toward the proximal nail fold

-Tx: Diflucan

Question 7

What has the spaghetti and meatball appearance on KOH stain? What is the treatment?

Answer 7

Tinea (pityriasis) versicolor

Tx:

• Diflucan or Nizoral (take 2 pills , once and then exercise after a few hours to release meds into the skin → don’t shower for 12 hours
• Nizoral cream
• Loprox cream
• Zeasorb AF powder for prevention
• ZNP bar soap
• Selenium sulfide shampoo

Question 8

What is Pityrosporum folliculitis? What is the treatment?

Answer 8

a yeast (mallassezia fufur) within the hair follicles

tx: difulcan and nizoral (oral)