Perleche is a candidal infection of the corners of the mouth that crack and jump. It may be favored by permanent licking, sucking of the thumb, a badly fitting dentition and other conditions that cause the corners of the mouth to be permanently moist enough for a yeast fungus to grow there.
Candida paronychia is a candidosis in the nail folds or the cuticle, which causes a painful redness and swelling (onychomycosis) around the nail. In long-lasting infections, the area under the nail may turn white or yellow, and the nail plate may detach from the nail bed (onycholysis). This infection usually occurs in people with diabetes or a weakened immune system, but also in otherwise healthy people whose hands often come into contact with water on.
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Fungal nail infection (candidiasis)
Chronic mucocutaneous candidiasis is a disease that occurs when the body’s immune system is not strong enough to respond to the candida fungus. The disease causes red, pus-filled, encrusted and thickened areas that look like psoriasis, especially on the nose and forehead. People with this disease are also prone to thrush.
Diagnosis of candidosis
Medical examination of the skin- Examination of culture or scraped skin. A Candida infection can usually be identified by the characteristic rash or the thick, white, pasty coating that it causes.
In order to confirm the diagnosis of candidosis, the doctor uses a scalpel or a tongue depressor to scratch some of the skin or the coating. The scraped sample is examined under a microscope to detect the pathogen or a culture is applied (a substance favoring the growth of microorganisms).
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Treatment of candidosis
- Skin-applied or oral antifungals
- Keep dry the affected area
The treatment of candidosis generally depends on the location of the infection. Infections in skin folds are treated with antifungal ointments, powders, solutions or other products applied directly to the skin (topically). Examples are miconazole, clotrimazole, oxiconazole, ketoconazole, econazole, ciclopirox and nystatin. In healthy individuals, skin fold infections are easy to cure. By keeping the skin dry, the decline of the infection is favored and a recurrence prevented.
Solutions that dehydrate the skin (such as Burow’s solution) or talcum powders can help keep the affected area dry. It also helps to avoid recurrence. Persons infected with the skin folds may be given oral medications (eg fluconazole).