Sunday, February 14, 2016
Candidal Intertrigo Affecting The Neck In An Infant
An infant is brought to the clinic with a rash on his neck. The child is otherwise healthy with no other systemic abnormalities. On examination the affected part of the skin was red and consisted of small vesicles and papules.
What is the most likely diagnosis?
Candidal intertrigo affecting the neck.
Candidal Intertrigo Affecting The Neck:
Etiology: It involves the opposing and rubbing surfaces of skin where sweat cannot evaporate easily. Thus, such areas provide warmth and moisture that is ideal for growth of Candida albicans.
Clinical Features: It is especially seen in neck of chubby babies, axilla, interdigital spaces, groin, under breasts, under pendulous abdominal folds, umbilicus and gluteal clefts. Typical lesions consist of large confluent areas of moist denuded erythematous skin with an irregular macerated scaly border with characteristic satellite lesions as small vesicles or papules on an erythematous base. Obesity
and diabetes predispose.
Management: Its management mainly involves topical application of antifungal powders as clotrimazole and trying to correct the predisposing factors. Oral fluconazole in 3-6 mg/kg for a week or longer is helpful in extensive cases. Weekly doses are recommended in recurrent cases.