Candidafolliculitis

Last Updated: 2019-08-27

Author(s): Anzengruber F., Navarini A.

ICD11: -

Folliculitis barbae candidamycetica, folliculitis candidamycetica, candida folliculitis, candida folliculitis.

Folliculitis in the beard area caused by Candida spp.

Mostly grown men. Rarely.

  • Pathogen: Candida spp., usually Candida albicans.
  • Flat erythematous follicular bound papules, pustules and nodes with honey-yellow crusts.  
  • Chronic course
  • Lack of response to antibiotics
  • Detection of pathogens (myco-smear, epilation of a hair).
  • If necessary, biopsy (PAS staining in the context of dermatopathological findings).
  • Beard area.

Bakterielle Impetiginisierung.

Physical interventions

  • Shaving the beard
  • Treatment of predisposition factors
  • Delamination of the crusts

Topical Therapy

  • Clotrimazole Cream (Canesten® Cream)
  • Ciclopirox cream (Ciclocutan® cream)

Systemic therapy for extensive infestation

  • Itraconazole (Sporanox®) 100-200 mg/day over 4-6 weeks
  • Fluconazole 1 times/day 50 mg p.o. over 4-6 weeks (in severe cases 100 mg/day p.o.) 

 

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