Candidaintertrigo

Intertrigo candidomycetica

Fungal infection of the intertrigines (axillary, inguinal, perianal, submammary and abdominal fold) with Candida spp (typically albicans).

• Lack of hygiene and increased moisture load ensure ideal conditions for the colonisation of C. albicans. From an intertrigo with swelling of the horny layer, a candidaintertrigo develops by colonization of C. albicans. Erosions, macerations and rhagades can form here in the course of time.
• Predisposing factors:
• Immunological deficiencies.
• Warm and humid environment (heavy sweating, clothes impermeable to air)
• Obesity.
• Diabetes mellitus.
• Lack of hygiene.

Rather sharply defined, slightly scaly, often foetal smelling erythema.

• Clinic.
• Detection of pathogens with sterile cotton swab (native and culture)
• Stool test for candida.
• Serology: Candida haemagglutination test.
• Daily blood glucose profile for the diagnosis of diabetes mellitus.

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