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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
PubMed

Insights

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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