What are the main symptoms of candidiasis of the skin. How can you prevent candida overgrowth on the skin. What are the most effective treatments for cutaneous candidiasis. Why do candida infections commonly occur in skin folds.

Understanding Candidiasis of the Skin

Candidiasis of the skin, also known as cutaneous candidiasis, is a fungal infection caused by an overgrowth of Candida fungi on the skin. While small amounts of Candida naturally live on our skin, certain conditions can lead to excessive growth and subsequent infection. This condition often manifests as a red, itchy rash, particularly in skin folds and warm, moist areas of the body.

What causes candida overgrowth on the skin?

Several factors can contribute to the development of cutaneous candidiasis:

• Warm, humid weather
• Tight-fitting clothing
• Poor hygiene practices
• Infrequent changing of undergarments
• Obesity
• Use of antibiotics that disrupt normal skin flora
• Corticosteroid use or other medications affecting immune function
• Weakened immune system due to conditions like diabetes or pregnancy
• Incomplete drying of damp or wet skin

Understanding these risk factors can help individuals take proactive steps to prevent candida overgrowth on their skin.

Recognizing the Symptoms of Cutaneous Candidiasis

Identifying the symptoms of candidiasis of the skin is crucial for timely diagnosis and treatment. The primary indicator is typically a rash with specific characteristics:

• Redness and intense itching
• Possible cracking and soreness of the skin
• Formation of blisters or pustules in some cases
• Commonly affects skin folds (armpits, groin, under breasts)
• Can also impact areas between fingers, nail beds, and corners of the mouth

How does candidiasis differ from other skin conditions?

Candidiasis can sometimes be mistaken for other skin conditions. Some similar-appearing conditions include:

• Ringworm
• Hives
• Herpes
• Diabetes-related skin issues
• Contact dermatitis
• Seborrheic dermatitis
• Eczema
• Psoriasis

Given the similarity in symptoms, it’s essential to consult a healthcare professional for an accurate diagnosis.

Diagnosing Candidiasis of the Skin

Proper diagnosis of cutaneous candidiasis is crucial for effective treatment. Healthcare providers typically employ the following methods:

How do doctors diagnose candidiasis of the skin?

1. Physical examination: The doctor will inspect the affected area, looking at the location and appearance of the rash.
2. Skin culture: If necessary, a cotton swab sample of the affected skin may be taken and sent to a laboratory to confirm the presence of Candida fungi.

These diagnostic methods allow healthcare providers to differentiate candidiasis from other similar-looking skin conditions and prescribe appropriate treatment.

Effective Treatment Options for Cutaneous Candidiasis

Once diagnosed, candidiasis of the skin can be treated through a combination of home remedies, lifestyle changes, and medical interventions.

What are the most effective treatments for candidiasis of the skin?

• Antifungal creams or powders: These topical medications are often the first line of treatment.
• Improved hygiene: Regular washing and thorough drying of affected areas can help control the infection.
• Loose-fitting clothing: This helps reduce moisture and heat that promote fungal growth.
• Probiotics: Adding these to your diet can help maintain a healthy balance of microorganisms on the skin.
• Dietary changes: Reducing sugar intake can help control Candida growth.

For severe or persistent cases, oral antifungal medications may be prescribed by a healthcare provider.

Preventing Candidiasis of the Skin

Prevention is key in managing cutaneous candidiasis. By implementing certain lifestyle changes and hygiene practices, individuals can significantly reduce their risk of developing this condition.

How can you prevent candida overgrowth on the skin?

• Maintain good hygiene: Regular washing and thorough drying of the skin, especially in fold areas.
• Change damp clothing promptly: This includes swimsuits and workout clothes.
• Wear breathable fabrics: Choose loose-fitting clothing made from natural fibers.
• Regular undergarment changes: This helps keep the genital area dry and clean.
• Use gentle, fragrance-free soaps: Harsh chemicals can disrupt the skin’s natural balance.
• Manage underlying conditions: Keep diabetes and other health issues well-controlled.
• Be mindful of medication use: Discuss potential side effects of antibiotics and corticosteroids with your healthcare provider.

By incorporating these preventive measures into daily routines, individuals can significantly reduce their risk of developing cutaneous candidiasis.

Candidiasis in Special Populations

While candidiasis of the skin can affect anyone, certain groups may be more susceptible or require special considerations in treatment and prevention.

How does candidiasis affect infants and individuals with weakened immune systems?

Infants, particularly those still in diapers, are prone to developing candidiasis in the diaper area. The warm, moist environment created by diapers provides an ideal breeding ground for Candida fungi. Regular diaper changes, proper cleaning, and allowing the area to dry completely can help prevent and manage these infections in babies.

Individuals with weakened immune systems, such as those with HIV/AIDS, undergoing chemotherapy, or taking immunosuppressive medications, are at higher risk for developing more severe or widespread candidiasis. These individuals may require more aggressive treatment and closer monitoring by healthcare providers.

The Role of Diet in Managing Candidiasis

While the direct link between diet and cutaneous candidiasis is not fully established, some dietary changes may help support overall skin health and potentially reduce the risk of fungal overgrowth.

Can dietary changes help prevent or manage candidiasis of the skin?

Some dietary considerations that may be beneficial include:

• Reducing sugar intake: Candida thrives on sugar, so limiting consumption may help control fungal growth.
• Incorporating probiotics: Foods rich in beneficial bacteria, such as yogurt and kefir, may help maintain a healthy skin microbiome.
• Consuming antifungal foods: Garlic, coconut oil, and oregano have natural antifungal properties that may support skin health.
• Staying hydrated: Proper hydration supports overall skin health and immune function.

While these dietary changes may be helpful, they should not replace medical treatment for active infections. Always consult with a healthcare provider before making significant changes to your diet.

When to Seek Medical Attention for Candidiasis

While many cases of cutaneous candidiasis can be managed with home remedies and over-the-counter treatments, there are situations where professional medical attention is necessary.

When should you consult a doctor for candidiasis of the skin?

Consider seeking medical attention if:

• The rash persists or worsens despite home treatment
• The infection spreads to new areas of the body
• You develop a fever or other systemic symptoms
• You have a weakened immune system or underlying health conditions
• The rash is causing significant discomfort or interfering with daily activities
• You’re unsure if the rash is candidiasis or another skin condition

A healthcare provider can offer a definitive diagnosis and prescribe more potent treatments if necessary. They can also rule out other potentially serious conditions that may mimic the symptoms of cutaneous candidiasis.

Understanding candidiasis of the skin, its causes, symptoms, and treatment options is crucial for effectively managing this common fungal infection. By maintaining good hygiene practices, making appropriate lifestyle changes, and seeking timely medical attention when needed, individuals can successfully prevent and treat cutaneous candidiasis, promoting overall skin health and well-being.

Candidiasis of the Skin: Causes, Symptoms, and Treatment

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Candidiasis is a fungal skin infection. Home remedies and lifestyle changes often help, but antifungal cream or powder may be necessary.

Different types of bacteria and fungi live and grow on your skin. Most of them aren’t dangerous. Your body requires the majority of them to carry out normal functions. However, some can cause infections when they begin to multiply uncontrollably.

The Candida fungus is one of these potentially harmful organisms. When an overgrowth of Candida develops on the skin, an infection can occur. This condition is known as candidiasis of the skin, or cutaneous candidiasis.

Candidiasis of the skin often causes a red, itchy rash to form, most commonly in the folds of the skin. This rash may also spread to other areas of the body. While the symptoms are often bothersome, they can usually be treated with improved hygiene and antifungal creams or powders.

The main symptom of candidiasis of the skin is a rash. The rash often causes redness and intense itching. In some cases, the infection can cause the skin to become cracked and sore. Blisters and pustules may also occur.

The rash can affect various parts the body, but it’s most likely to develop in the folds of the skin. This includes areas in the armpits, in the groin, between the fingers, and under the breasts. Candida can also cause infections in the nails, edges of the nails, and corners of the mouth.

Other conditions that may resemble candidiasis of the skin include:

• ringworm
• hives
• herpes
• diabetes-related skin conditions
• contact dermatitis
• seborrheic dermatitis
• eczema
• psoriasis

Candidiasis of the skin develops when the skin becomes infected with Candida. A small amount of Candida fungi naturally live on the skin. When this type of fungus begins to multiply uncontrollably, however, it can cause an infection. This may occur because of:

• warm weather
• tight clothing
• poor hygiene
• infrequent undergarment changes
• obesity
• the use of antibiotics that kill harmless bacteria that keep Candida under control
• the use of corticosteroids or other medications that affect the immune system
• a weakened immune system as a result of diabetes, pregnancy, or another medical condition
• incomplete drying of damp or wet skin

Candida fungi thrive and grow in warm, moist areas. This is why the condition often affects areas where there are folds of skin.

Babies can also develop candidiasis of the skin, especially on the buttocks. A diaper tends to provide an ideal environment for Candida.

Candidiasis of the skin usually isn’t contagious. However, people with weakened immune systems may develop the condition after touching the skin of an infected person. Those with compromised immune systems are also more likely to develop a severe infection as a result of candidiasis.

Your doctor will likely be able to make a diagnosis simply by performing a physical examination. During the exam, they’ll inspect the location of your rash and the appearance of your skin.

Your doctor may also want to perform a skin culture before making a diagnosis of candidiasis of the skin. During a skin culture, your doctor will rub a cotton swab over the affected area and collect a skin sample. The sample will then be sent to a laboratory to be tested for the presence of Candida.

Candidiasis of the skin can usually be prevented with home remedies, the most important of which is proper hygiene. Washing the skin regularly and drying the skin thoroughly can prevent the skin from becoming too moist. This is vital to keeping Candida infections at bay.

There are many lifestyle changes you can make to both prevent and treat a candidiasis infection.

Helpful tips

• Quickly change out of damp clothing, such as swimsuits or sweaty workout clothes.
• Change your socks and undergarments regularly.
• Wear loose-fitting clothing.
• Use gentle and scent-free soap on affected areas.
• Add probiotics to your diet.
• Reduce the amount of sugar in your diet.

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Since abnormal blood sugar levels can contribute to the development of Candida infections, keeping your blood sugar under control may also help relieve symptoms. You may be able to lower your blood sugar by reducing the amount of sugar in your diet and by exercising for 30 minutes at least three times per week. If you have diabetes, it’s important to continue following your doctor’s instructions as you may need to start receiving oral medications or an increased amount of insulin.

In severe or persistent cases of candidiasis, your doctor may recommend using an antifungal cream or powder that can be applied to your skin. Over-the-counter antifungal creams that are often recommended include clotrimazole (Mycelex), miconazole (Monistat), and tioconazole (Vagistat). This type of treatment can kill Candida and reduce the spread of the infection.

Your doctor may prescribe an antifungal cream such as nystatin or ketoconazole if the over-the-counter treatments aren’t effective. If the infection has already spread to areas inside your body, such as your throat or mouth, you may need to take an oral antifungal to get rid of it.

Cutaneous candidiasis (or candidiasis present on skin, nails, or hair) is a common occurrence in infants and babies.

Candidiasis-related diaper rash is one of the most frequently occurring candidiasis infections in babies. This rash is typically red with a well-defined border, and normally lasts more than three days. Treatment includes changing the infant’s diaper frequently and allowing them to wear loose-fitting clothes on top of the diaper. The antifungal nystatin may be prescribed.

Oral thrush is another common occurrence in newborns and infants under 6 months old. Symptoms can include cracked skin in the corners of the mouth and whitish patches on the lips, tongue, or inside of the cheeks. Your doctor can prescribe an antifungal medication that’s applied to the infant’s mouth several times a day.

If candidiasis infection is left untreated, it can enter the bloodstream and spread. See your doctor if you believe your baby has candidiasis.

Learn more: Oral thrush »

Although healthy children have strong immune systems, a 2010 study found that the rate of topical fungal infections among children is increasing rapidly. Children sometimes develop candidiasis infections after receiving antibiotics that treat another condition. Children who suck their thumbs may be prone to developing candidiasis infections in or around their nail beds.

If your child is 9 months or older and has reoccurring thrush or skin infections, this could point to an underlying health concern, such as HIV or another problem with the immune system. Older children with frequent or severe skin infections should also be tested for diabetes.

Candidiasis of the skin usually goes away with treatment, and most people fully recover without complications. If treated, the candidiasis typically resolves within one to two weeks. Without prescription treatment, recovery can take anywhere from a few days to a few weeks, depending on the severity of the infection.

Even with treatment, it is possible for the infection to return in the future. People with compromised immune systems, especially those undergoing chemotherapy and those with HIV or AIDS, are at a much higher risk of severe or life threatening Candida infections. If you’re undergoing chemotherapy or you have HIV or AIDs and you develop severe throat pain, headache, or high fevers, you should see your doctor immediately.

A:

Answers represent the opinions of our medical experts. All content is strictly informational and should not be considered medical advice.

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Cutaneous Candidiasis / Candida Skin Infection

• Candida
• Causes of candidiasis
• Signs and symptoms of candidiasis
• Oropharyngeal / oesophageal candidiasis (oral thrush)
• Genital Candidiasis / vulvovaginal candidiasis (VVC) / Candidal vulvovaginitis
• Cutaneous Candidiasis / Candida Skin Infection
• Invasive candidiasis
• What is Candida die-off?
• Candida Diet and Outlook for the infection

Cutaneous candidiasis is the medical term for a fungal yeast infection of the skin, commonly referred to as a candida skin infection. It is estimated that 20 to 25% of the global population are affected by fungal skin infections, making these a rather current occurrence¹.

The body is usually able to keep skin infections at bay when a person is healthy. If, however, the immune system is compromised for some reason, an upset in the natural balance of fungi that normally reside on the skin without causing any issues may occur. When this happens, opportunistic species (including candida) multiply and penetrate the skin’s barrier, causing infection. Of the over 200 known candida species, just a few that are commonly found on the skin cause infection. These include:

• Candida tropicalis
• Candida parapsilosis
• Candida orthopsilosis
• Candida albicans – which most commonly causes symptomatic skin infections²

Yeast infections of the skin can occur anywhere on the body but are most common in warm, moist skinfold and creases such as those found:

• In the armpits
• In the groin
• Under the breasts
• In the folds of the buttocks (in infants, cutaneous candida infection can cause diaper / nappy rash).
• In the webbing between the fingers and toes
• Around the edges or corners of the mouth
• In the creases of joints

Infections may also occur in the area around the anus (this is referred to as perianal candidiasis) and on or around the nails (referred to as paronychial and onychial infections).

In overweight individuals, candida infections may spread to various areas where fat rolls have accumulated.

Candida-related skin infections are also common in those with ill-managed diabetes³. This is due to the fact that diabetes interferes with the body’s immune system and suppresses it. This, coupled with blood sugar level spikes in those whose diabetes is not under control, facilitates the overgrowth of yeast which feeds on the excess sugar.

Lactating women who experience nipple injuries due to breastfeeding may also be at increased risk of developing skin or breast-related candida infections. In some but not all lactating women, candida infections may cause sore nipples and a deep, sharp, shooting and/or burning pain in the breasts. When candida infects the breasts, this is referred to as mammary candidiasis.

Candidal infections may also commonly affect those being treated for psoriasis as the treatments for this condition may increase the risk of developing fungal infections⁴.

Symptoms of candida skin infections (cutaneous candidiasis)

A candidal infection of the skin can cause the following symptoms:

• Intense itching and/or burning sensation in the affected area
• A spreading, red, crusted skin rash (generally starting in the folds of the skin) which may include satellite pustules (little bumps that look like pimples) and overlaying white plaques (hardened areas of skin).
• Sore, cracked skin
• When affecting the breasts, the nipples may appear shiny or flaky

A candidal infection affecting the toenails or fingernails may cause:

• Nail discolouration (greenish-yellow, ochre, or whitish discoloration)
• Nail thickening
• Detachment of the nail from the nailbed

What do candida skin infections look like?

When candida affects the skin, well-defined, red and sometimes itchy patches of lesions in various shapes and sizes appear, generally in the folds of the skin, this is referred to as candidal intertrigo. While the infection generally starts in the folds of the skin, it can spread to the face, trunk or fingertips. On the scalp, crusts may form and can cause hair loss in these areas, infection of the hair follicles may look like pimples.

What do candida foot and nail infections look like?

When candida infects the nails the most noticeable symptom is discoloration and thickening. The images below illustrate what candida skin infections of the feet and nails may look like.

Diagnosing a candida skin infection

If you have any of the above-mentioned symptoms, make an appointment with your doctor. He or she will generally be able to diagnose the condition by looking at the skin or nails in the affected area during a physical examination. A sample may be taken for testing.

Adolescents and adults with candida skin infections will generally also be tested for diabetes as these are commonly seen in those with high blood sugar levels. A diabetes test may involve giving a blood and/or urine sample.

Candida skin infection treatment

If it is determined that a skin infection is caused by candida, a doctor may prescribe⁵:

• An antifungal skin cream, ointment or powder to be used for between two and four weeks. Common first-line therapy includes imidazole (either clotrimazole 1% or miconazole 2% applied twice daily). In those who are allergic to imidazole, nystatin cream may be prescribed.
• For severe symptoms, a single dose of oral antifungal medication (fluconazole – 150mg) or a combination antifungal and cortisone cream may be prescribed.
• For acute lesions: Domeboro^®solution, Castellani paint or vinegar–water solutions may be applied twice daily for 5–10 minutes. After these dry a mixture of zinc oxide, talc, and glycerine may be applied twice daily.
• For less serious lesions cleansing with benzoyl peroxide, Castellani stain, or vinegar may be recommended followed by the application of the above-mentioned topical antifungal creams, ointments or powders.
• Chronic lesions may be treated with a rinsing lotion comprised of zinc-talc applied twice a day. Applying an antifungal and corticosteroid combination ointment at night may also be recommended.

Home remedies for candida skin infection

Practicing good hygiene is key when treating a candida infection of the skin. It is vital to keep the skin dry and exposed to air as much as possible. Absorbent powders may assist in keeping moist areas that are prone to perspiration dry.

If a person is overweight, weight loss may aid in the elimination of the issues associated with candida infection. In those with diabetes, getting blood sugar under control and continuing to manage it may also help to clear candida infection and prevent recurrences.

Consuming lactobacillus-containing yogurt has proven to be effective in reducing the candida colonisation of the rectum and vagina in women, as such, there is theoretical evidence that it may be useful in treating various types of candidal infections, including those of the skin.

Plant-based alternative therapies that include the use of garlic, calendula, and the goldenseal herb to treat candida are not usually recommended by medical doctors as there is no reliable data the proves their effectiveness in treating candida at present.

Prognosis (outlook) for those suffering from candida skin infection

While cutaneous candidiasis often resolves with treatment, especially when the underlying cause is addressed, repeat infections are common. In those with weakened immune systems, widespread candidiasis may occur. For this reason, the symptoms of any type of skin infection should never be ignored and rather examined and treated by a medical doctor as soon as possible.

Chronic mucocutaneous candidiasis

Chronic mucocutaneous candidiasis (CMCC) refers to a group of rare syndromes that usually develop in childhood but may only be diagnosed in adulthood. In some sufferers, these syndromes are caused by hereditary genetic defects as a result of the mutation of specific genes that affect the immune system.

These defects affect the ability of the immune system’s lymphocytes / T-cells (i.e. the white blood cells that fight off infection) to defend against candida infections. If the immune system’s antibodies (other immune system cells involved in fighting off foreign bodies) are functioning the body may still be able to fight off infections. However, in some individuals both T-cells and antibodies are compromised, making it difficult for them to resist infection.

Symptoms of chronic mucocutaneous candidiasis

Chronic mucocutaneous candidiasis symptoms include those experienced with non-invasive Candida infections of the skin, nails, and mucous membranes⁶. These include:

• Severe, recurrent oral thrush
• Onychomycosis (nail infections that may cause one or more nails to thicken, crack, and become discoloured)
• Vaginitis (vaginal yeast infection also referred to as vaginal thrush that is often associated with an abnormal, itchy vaginal discharge)
• Chronic skin lesions (including a thick, crusted rash that may develop over the face and scalp, often causing hair loss)

The above can be experienced along with autoimmune manifestations, often associated with diseases of the endocrine glands (i. e. the glands that secrete hormones). The most common of which include:

Other non-endocrine related autoimmune manifestations include:

• Autoimmune haemolytic anaemia (a condition that occurs when the sufferer’s antibodies attack their own red blood cells (RBCs) cause them to burst, resulting in a deficiency of oxygen-carrying red blood cells in the body).
• Immune thrombocytopenia purpura
• Autoimmune neutropenia
• Rheumatoid arthritis

Chronic mucocutaneous candidiasis diagnosis

A doctor will usually diagnose a candida infection by looking at the infected area during a physical examination. He/she may take a sample of the infected area for examination under a microscope in order to confirm that Candida is, in fact, causing the infection.

Due to the fact that people without underlying immune system disorders can also develop candida infections, risk factors for these will be explored such as recent antibiotic use or whether a person is diabetic.

If a person with chronic, recurrent candida infections that have not become invasive (i.e. they have not spread to the internal organs) has no evident risk factors, a doctor may suspect that he/she has chronic mucocutaneous candidiasis⁷ and will order blood tests to check for various genetic mutations in order to confirm the diagnosis.

Chronic mucocutaneous candidiasis treatment

Mucocutaneous candidiasis is treated with antifungal therapy. Fluconazole is often the preferred form of treatment as it is effective, has few side effects and is affordable.

The underlying autoimmune or endocrine disorders associated with the condition will also be treated with replacement therapies (i.e. treatments aimed at making up the deficit of a hormone or substance naturally present in the body).

Prognosis (outlook) for those with chronic mucocutaneous candidiasis

While mucocutaneous candidiasis is a chronic disorder, it can be effectively managed and does not affect a person’s lifespan.

References

<sup>1. Kühbacher A, Burger-Kentischer A, Rupp S. Interaction of Candida Species with the Skin. Microorganisms. 2017;5(2):32. doi:10.3390/microorganisms5020032
2. Palese E, Nudo M, Zino G et al. Cutaneous candidiasis caused by Candida albicans in a young non-immunosuppressed patient: an unusual presentation. Int J Immunopathol Pharmacol. 2018;32:205873841878136. doi:10.1177/2058738418781368
3. Rodrigues C, Rodrigues M, Henriques M. Candida sp. Infections in Patients with Diabetes Mellitus. J Clin Med. 2019;8(1):76. doi:10.3390/jcm8010076
4. Pietrzak A, Grywalska E, Socha M et al. Prevalence and Possible Role of Candida Species in Patients with Psoriasis: A Systematic Review and Meta-Analysis. Mediators Inflamm. 2018;2018:1-7. doi:10.1155/2018/9602362
5. Metin A, Genç Dilek N, Gunes Bilgili S. Recurrent candidal intertrigo: challenges and solutions.  Clin Cosmet Investig Dermatol. 2018;Volume 11:175-185. doi:10.2147/ccid.s127841
6. Firinu, D., Massidda, O., Lorrai, M., Serusi, L., Peralta, M., Barca, M., Serra, P. and Manconi, P. (2011). Successful Treatment of Chronic Mucocutaneous Candidiasis Caused by Azole-ResistantCandida albicanswith Posaconazole. Clinical and Developmental Immunology, 2011, pp.1-4.
7. Khalsa, K., Yang, Q., Shen, X., Pasha, M. and Celestin, J. (2018). Immunologic characterization of patients with chronic mucocutaneous candidiasis disease. Clinical Case Reports, 7(1), pp.180-185.</sup>

Skin candidiasis – daily symptoms in children and adults, diagnosis and treatment

Itching

Fungus

Eczema

Diabetes mellitus

Cushing’s disease

HIV

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26 April

Candidiasis of the skin: causes, symptoms, diagnosis and treatment.

Definition

Skin candidiasis is an infectious skin disease caused by microscopic fungi of the genus Candida (most often Candida albicans ).

Causes of skin candidiasis

Candida albicans is believed to be the cause of almost 70-80% of cases of candidiasis. In addition to it, C. glabrata , C. tropicalis , C. krusei , and C. Dubliniensis , can cause skin candidiasis, but incomparably less often.

The fungus Candida is normally present on the skin and mucous membranes without causing harm. However, with a prolonged increase in humidity, thermal exposure and violation of the protective mechanisms of the skin, the pathogen begins to multiply rapidly.

There are risk factors that contribute to the manifestation of skin candidiasis:

• hot weather,
• tight clothing made of synthetic fabrics,
• non-compliance with personal hygiene,
• violation of microflora as a result of antibiotic therapy,
• inflammatory processes in skin folds,
• taking corticosteroids and immunosuppressants,
• diabetes mellitus and other endocrine disorders (eg, Cushing’s disease), HIV/AIDS, or T cell defects.

Classification

• Candidal lesions of the lips and mouth.
• Smooth skin lesion.
• Damage to large folds.
• Interdigital candidiasis.
• Candidal lesions of the palms and soles.
• Candidal balanoposthitis.
• Chronic generalized candidiasis (candidiasis granuloma).

There are several forms of candidiasis:

• Carriage. There are no clinical manifestations of candidiasis.
• Sharp. Accompanied by itching, rashes.
• Chronic. Characterized by the remission of symptoms and their re-manifestation. It develops in case of improper and prolonged treatment with antibiotics.

Symptoms of skin candidiasis

The disease is manifested by small vesicles, sometimes with purulent contents, which open with the formation of erosions. Erosions quickly increase, merge with each other, forming extensive areas of damage. Foci of candidiasis have a dark red color and a moist surface. Fresh small erosions form around large foci. In children, the first signs of candidiasis usually appear in the folds of the skin, from where they already spread to the skin of the thighs, buttocks, and abdomen. There may be painful cracks in the depth of the folds.

Candidiasis of smooth skin in children may resemble seborrheic dermatitis with itchy nodules and erosions. In adults, the disease can manifest as red spots with peeling in the center and small vesicles along the periphery.

Interdigital candidal erosion is observed mainly in persons who have prolonged contact with water, which contributes to skin maceration (waterlogging of the skin with its characteristic swelling). Patients are concerned about itching, burning, and in the presence of cracks – soreness.

In lactating women, candidiasis of the smooth skin of the nipples may develop in the form of hyperemia, maceration and small bubbles in the areola of the nipple.

Candidiasis of the palms can proceed according to the type of dry lamellar dyshidrosis (surface lamellar peeling) and have a vesicular-pustular form (vesicles and pustules against the background of hyperemic and edematous skin). Less commonly, the disease resembles hyperkeratotic eczema – against the background of diffuse hyperkeratosis or individual areas of keratinized skin, sharply demarcated wide skin furrows are observed that have a dirty brown color.

Candidiasis of the skin of the soles is observed mainly in children and is characterized by the presence of small vesicles and pustules, hyperemic spots with peeling and exfoliating waterlogged epidermis along the edges.

In chronic generalized (granulomatous) candidiasis, clinical manifestations on the skin can be varied.

Candida balanoposthitis (an inflammatory disease that affects the glans penis and the inner layer of the foreskin) can be mild with slight lamellar peeling or be more pronounced when there is hyperemia, maceration, erosion on the skin of the glans penis and the inner layer of the preputial sac, as well as in the coronary sulcus on the adjacent surfaces. Erosions can merge and form foci with clear boundaries and a shiny surface. Subjectively, patients are concerned about itching and burning. The disease can be complicated by ulceration and the development of phimosis.

Diagnosis of skin candidiasis

On examination, the doctor reveals inflamed areas of the skin, delimited by waterlogged epidermis.

The diagnostic search algorithm for candidiasis of any localization includes taking material from the affected area, followed by microscopy, seeding to determine the type of fungus and its sensitivity to antimycotic (antifungal) drugs.

Candida, determination of DNA (Candida albicans, DNA) in skin epithelial cell scrapings.

Candida, determination of DNA (Candida albicans, DNA) in scraping of epithelial skin cells

Synonyms: Candida DNA in a scraping of epithelial skin cells; Scraping of epithelial skin cells for candida.

Candida albicans, DNA testing; Candida albicans REAL-TIME PCR DNA, scraping of skin epithelial cells; . ..

Up to 1 business day

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455 RUB

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Determination of antibodies of the IgG class to Candida.

Candida IgG

An indicator of the immune response used in the diagnosis of invasive forms of candidiasis.

Fungi of the genus Candida (most often Candida albicans) are ubiquitous. They are present…

Up to 4 business days

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The quantitative determination of Candida is of diagnostic value, since the presence of a small number of Candida fungi is the norm.

Identification of the causative agent of skin candidiasis and determination of its sensitivity to antifungal drugs is carried out by sowing the scraping biomaterial.

Yeast Culture. Identification and Antimycotic Susceptibility testing (Yeast Culture. Identification and Antimycotic Susceptibility testing)

Isolated pathogens: yeast-like fungi (genus Candida, Cryptococcus and others). Material for examination: depending on the type of suspected infection, urine is examined…

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RUB 1,030

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With candidiasis of smooth skin of large folds and outside the folds, the disease should be differentiated from seborrheic eczema, psoriasis and other mycoses.

Which doctors to contact

A dermatologist is engaged in the diagnosis and treatment of skin candidiasis.

Treatment of skin candidiasis

Small lesions of smooth skin can be treated with topical antimycotic (antifungal) agents.

In recent years, azole preparations with a wide spectrum of action, as well as polyene antibiotics, have been used in the treatment of candidiasis.

In case of candidiasis of smooth skin of large folds with acute inflammation, treatment should be started with the use of an aqueous solution of brilliant green (1-2%) in combination with powder and carried out for 2-3 days. Then antimycotic drugs are prescribed: a cream or ointment is applied in a thin layer to the lesions 1-2 times a day. Treatment is continued until resolution of clinical manifestations, plus another 7 days to prevent relapse.

With widespread processes on the skin and the ineffectiveness of local therapy, antifungal agents of systemic action are prescribed: The duration of therapy is 2-4 weeks.

Complications

With a long course, the acute form of candidiasis can turn into a chronic one, which is extremely difficult to treat.

Prevention of skin candidiasis

There is no specific prevention of candidiasis of the skin. Of the generally accepted means of prevention, it should be noted the standard skin hygiene, the priority of underwear and clothing made from natural fabrics.

Sources:

1. Butov Yu.S. Dermatovenereology. National leadership. Brief edition / ed. Yu.S. Butova, Yu.K. Skripkina, O.L. Ivanova – M.: GEOTAR-Media, 2017. – 896 p.
2. Infectious diseases. National leadership / N.D. Yushchuk, Yu.Ya. Vengerov. – M.: GEOTAR-Media, 2018. – 1112 p.
3. Zachinyaeva A.V. Medical mycology / Zachinyaeva A.V., Moskalev A.V., Andreev V.A., Sboychakov V.B. – M.: GEOTAR-Media, 2018. – 288 p.

IMPORTANT!

The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.
For a correct assessment of the results of your analyzes in dynamics, it is preferable to do studies in the same laboratory, since different laboratories may use different research methods and units of measurement to perform the same analyzes.

Skin candidiasis. What is skin candidiasis?

IMPORTANT
The information in this section should not be used for self-diagnosis or self-treatment. In case of pain or other exacerbation of the disease, only the attending physician should prescribe diagnostic tests. For diagnosis and proper treatment, you should contact your doctor.

Skin candidiasis is a superficial skin lesion caused by fungi of the genus Candida. Skin candidiasis presents as red and edematous lesions with vesicles, papules, and erosions. Most often, the process is localized in the skin folds of the axillary and inguinal regions, in the interdigital spaces and under the mammary glands. The diagnosis of candidiasis of the skin is confirmed by the detection of Candida fungi on microscopic examination of skin scrapings. Treatment is carried out by local, and if necessary, general, use of antifungal drugs.

• Causes of skin candidiasis
• Classification of skin candidiasis
• Symptoms of skin candidiasis
• Diagnosis of skin candidiasis
• Treatment of skin candidiasis
• Prices for treatment

General

Recently, there has been an increase in the incidence of fungal infections in general and skin candidiasis in particular. The disease occurs in people of absolutely any age from newborns to the elderly. Since Candida fungi are opportunistic flora and are present in the body of a healthy person, their transition to a pathogenic state with the development of skin candidiasis can signal abnormalities occurring in the body and, first of all, a decrease in immunity.

skin candidiasis

Causes of skin candidiasis

For most people, Candida enters the body in the first year of life. Further fungi are present in the human body as a natural flora. Candidiasis of the skin develops in the case of the transition of fungi from a saprophytic state to a pathogenic one. This may be due to endogenous causes, that is, with changes in the body of the person himself. For example, metabolic disorders (dysproteinemia, obesity, diabetes mellitus), imbalance of the intestinal microflora in dysbacteriosis, decreased immunity, weakening of the body’s defenses against the background of chronic infections, increased sweating, vitamin deficiency can lead to the development of skin candidiasis. Certain types of drug therapy can lead to changes that contribute to the onset of skin candidiasis: treatment with cytostatics or corticosteroids, antibiotic therapy.

It is possible to develop skin candidiasis as a result of exogenous causes, that is, environmental factors that enhance the pathogenic properties of Candida fungi. One of these factors is humidity. The fact is that Candida develops well in a humid environment and at the same time can turn into a pathogenic state. So skin candidiasis is often affected by pool and bath workers, washers and housewives often in contact with water. Elevated ambient temperature, which promotes sweating and maceration of the skin, can also be the cause of skin candidiasis. A favorable environment for the development of pathogenic fungi Candida exists in the confectionery industry and in the canning industry, where, in addition to a large number of fungi in the external environment and raw materials, there is a constant maceration of the skin of the hands of workers with sugary substances, citric, malic and other acids.

Classification of skin candidiasis

There are the following types of candidiasis of the skin:

• candidal intertrigo – candidiasis of large skin folds;
• genital candidiasis;
• candidiasis of the skin of the interdigital spaces of the feet and hands;
• candidal folliculitis – a fungal infection of the hair follicles of the armpit, and in men in the beard and mustache area, occasionally occurs on the scalp;
• dressing skin candidiasis – with increased skin moisture under a plaster cast or on the back in bedridden patients;
• diaper candidiasis – in infants in the perineum.

Symptoms of skin candidiasis

Skin candidiasis begins with the appearance of areas of redness on it with some swelling and various elements of the rash: papules, pustules, vesicles. After the opening of the elements, weeping erosions are formed, which merge to form clearly demarcated lesions with scalloped edges. The erosion surface is shiny and smooth, has a characteristic whitish coating. On the periphery of the foci of skin candidiasis, there are separate seropapules, edematous-erythematous spots, vesicles and pustules. Most often, skin candidiasis begins with large skin folds: between the buttocks, in the armpits, under the mammary glands, in the groin.

Depending on the clinical picture, erythematous and vesicular forms of skin candidiasis are distinguished. In the erythematous form, edematous-erythematous foci with areas of erosion predominate. The vesicular form is characterized by the presence of a large number of vesicles, pustules and papules against the background of inflamed skin.

Candidiasis of the skin can take a chronic relapsing course. In this case, the manifestations described above occur during an exacerbation several times a year and are more common. Chronic candidiasis is more difficult to treat. In severe cases, against the background of concomitant diseases and severe immune disorders, chronic candidiasis can turn into a generalized form with osteoporosis, anemia, recurrent bronchitis and pneumonia, disorders of the gastrointestinal tract and other internal organs.

Interdigital candidiasis of the skin is more often observed in preschoolers and adults working in gardens and orchards. It is manifested by maceration foci with edematous and red skin, along the periphery of which there are vesicles and papules. For employees of vegetable stores and confectionery factories, localization of skin candidiasis between III and IV or IV and V fingers is typical. Candidiasis of the skin of the genital organs is often combined with candidal vaginitis, balanoposthitis and balanitis.

Diagnosis of skin candidiasis

The fastest and easiest way to diagnose fungal etiology of skin lesions is to identify characteristic oval cells with elements of pseudomycelium by direct microscopy of scrapings for pathogenic fungi taken from the affected area of ​​the skin. Preliminary data can be obtained by PCR diagnostics, immunofluorescence reaction (RIF) and enzyme immunoassay (ELISA). The quantitative determination of Candida is of diagnostic value, since the presence of a small number of Candida fungi is normal for the microflora of the human body. Accurate identification of the causative agent of skin candidiasis and determination of its sensitivity to antifungal drugs is carried out by sowing the scraping material on Sabouraud’s medium.

Additionally, to identify concomitant diseases and infections in skin candidiasis, the following can be prescribed: a clinical blood test, determination of blood sugar and urine, an immunogram, a test for HIV infection, etc. If necessary, differential diagnosis of skin candidiasis with eczema, seborrheic dermatitis, psoriasis of the skin folds, favus, recurrent genital herpes, lupus erythematosus, etc.

Treatment of skin candidiasis

The basis of the course treatment of skin candidiasis is the appointment of antifungal drugs. These include: antifungal antibiotics (nystatin, amphotericin B, natamycin, levorin), medicines of the azole group (ketoconazole, isoconazole, clotrimazole, miconazole, econazole, fluconazole) and other drugs (flucytosine, dequalinium chloride, ciclopirox, terbinafine, naftifine, undecylenic acid preparations).