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Examination of Oral Candida Infection in Primary Sjögren's Syndrome Patients
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Resistant "candidal intertrigo": could inverse psoriasis be the true culprit?
Erin N Wilmer1, Robert L Hatch
1Department of Community Health and Family Medicine, University of Florida College of Medicine, Gainesville, FL 32610, USA.
Journal of the American Board of Family Medicine : JABFM
|March 9, 2013
Summary
Inverse psoriasis can mimic fungal infections like candidal intertrigo. Misdiagnosis is common, leading to treatment challenges for this skin condition.
Area of Science:
- Dermatology
- Mycology
Background:
- Inverse psoriasis affects skin folds and can be mistaken for candidal intertrigo.
- Candidal rashes are common in primary care and usually respond to treatment.
Observation:
- A patient with inverse psoriasis was repeatedly misdiagnosed with recurrent candidal intertrigo.
- Failure to respond to antifungal therapy can indicate a misdiagnosis.
Findings:
- This article reviews inverse psoriasis diagnosis and treatment.
- Differential diagnoses for "resistant Candida" include bacterial intertrigo, tinea, and seborrheic dermatitis.
Implications:
- Considering inverse psoriasis and other mimics improves diagnosis of resistant Candida cases.
- Accurate diagnosis prevents patient frustration and ensures effective treatment for intertriginous skin conditions.
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