Sunday, February 13, 2011

Candidiasis (Moniliasis)


Etiology
Candidiasis is an acute or subacute skin disease, caused by intermediate species of fungus Candida albicans that can attack the skin, subcutaneous, nails, mouth, vagina, lung, may sometimes lead to septicemia, endocarditis, or meningitis.


Epidemiology
The disease is found worldwide, can affect all ages, both male and female. Fungi the cause may have on healthy people as a saprophyte.


Clinical Overview
Accompanied by severe itching, burning heat, sometimes painful if there is secondary infection. In chronic conditions, hyperpigmentation, and hyperkeratosis. Nails are not luminous, black chocolate, thickened, lusterless, sometimes scaly, usually from the base of the nail to the distal. Around the nail got erythematous, vesicle-vesicle and erosive areas.


Diagnosis
Mucocutaneous skin scrapings or swabs examined with 10% KOH solution or with Gram stain, visible yeast cells, blastospora, or false hyphae.


Differential Diagnosis
Seborrheic dermatitis, Intertriginous dermatitis, Allergic contact dermatitis, Dermatophytosis, Eritrasma, Paronychia, Onychomycosis, Tinea unguium, Psoriasis, Lichen planus.


Prognosis
Generally good, depending on the severity of the predisposing factors.

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