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Nail dystrophy in congenital cutaneous candidiasis.
Herbert W Clegg1, Neil S Prose, David N Greenberg
1Department of Pediatrics, Presbyterian Hospital, Charlotte, NC 28204, USA. hwclegg@novanthealth.org
Pediatric Dermatology
|July 19, 2003
Summary
Congenital cutaneous candidiasis (CCC) can rarely affect nails. This case shows a premature infant with CCC developing 20-nail dystrophy, which resolved over months.
Area of Science:
- Neonatology
- Dermatology
- Mycology
Background:
- Congenital cutaneous candidiasis (CCC) is a superficial fungal infection typically presenting with skin lesions.
- Nail involvement in CCC is uncommon, with most cases being benign and self-limiting.
Observation:
- A premature infant diagnosed with congenital cutaneous candidiasis presented with significant nail changes.
- The infant developed dystrophy affecting all 20 fingernails and toenails around one month of age.
Findings:
- The nail dystrophy was attributed to Candida albicans infection.
- Diagnostic differentiation from other congenital or hereditary nail disorders was achieved through clinical appearance and positive nail cultures for Candida.
- Complete resolution of the nail dystrophy was observed over several months.
Implications:
- This case highlights the potential for extensive nail involvement in congenital cutaneous candidiasis.
- Early diagnosis and appropriate management can lead to favorable outcomes, even with severe nail manifestations.
- Understanding the clinical course and diagnostic criteria is crucial for differentiating infectious nail dystrophy from other congenital nail abnormalities.