Page 32 - LECTURE NOTES

Candidal colonization is at the highest levels during the extremes of ages, in neonates

and people older than 65 years

Intertrigo: affects any site where the skin surfaces are in close proximity with warm
and moist environment. Pruritic rash that begins with vesiculopustules, which enlarge

and rupture, causing maceration and fissuring. Satellite lesions frequently are found

that may coalesce and extend into larger lesions.

3.7.7. Paronychia and onychomycosis

Frequently, paronychia and onychomycosis are associated with immersion of the

hands in water. Patients present with a painful and erythematous area around and

underneath the nail and nail bed, warm, glistening, tense, and tender. There is
secondary nail thickening, ridging, discoloration, and occasional nail loss in chronic

cases.

Mucosal candidiasis

Oropharyngeal candidiasis (OPC)

Symptoms include: asymptomatic, sore, and painful mouth, burning mouth or tongue,
dysphagia, whitish thick patches on the oral mucosa. When removed show

erythematous base.

Physical examination reveals a diffuse erythema and white patches that appear on

the surfaces of the buccal mucosa, throat, tongue, and gums. The presence of
retrosternal pain, epigastric pain, nausea, and vomiting may suggest esophageal

candidiasis

Vulvovaginal candidiasis: This is the second most common cause of vaginitis. The

patient's history includes vulvar pruritus, vaginal discharge, dysuria, and dyspareunia.
The vagina and labia are erythematous, with a thick curd like discharge.

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