Candidafolliculitis

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.) 

1. Suss K, Vennewald I, Seebacher C. Case report. Folliculitis barbae caused by Candida albicans. Mycoses 1999;42:683-5.
2. Leclerc G, Weber M, Contet-Audonneau N, Beurey J. Candida folliculitis in heroin addicts. Int J Dermatol 1986;25:100-2.
3. Jalalat S, Hunter L, Yamazaki M, Head E, Kelly B. An outbreak of Candida albicans folliculitis masquerading as Malassezia folliculitis in a prison population. J Correct Health Care 2014;20:154-62.
4. Ross EV, Baxter DL, Jr. Widespread Candida folliculitis in a nontoxic patient. Cutis 1992;49:241-3.
5. Durdu M, Guran M, Kandemir H, Ilkit M, Seyedmousavi S. Clinical and Laboratory Features of Six Cases of Candida and Dermatophyte Folliculitis and a Review of Published Studies. Mycopathologia 2016;181:97-105.