Candidiasis: The Daily PANCE Blueprint

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Candidiasis: The Daily PANCE Blueprint

A 19-year-old male with a history of uncontrolled diabetes presents to the clinic with a worsening rash in his armpits. On exam, you notice a beefy red patch with scattered erythematous satellite papules and pustules nearby. What is the most likely diagnosis?

A. Hidradenitis suppurativa
B. Atopic dermatitis
C. Candida infection
D. Psoriasis
E. Tinea infection

Answer and topic summary

The answer is C. Candida infection

Candida albicans (an oval, budding yeast) is the most common cause of candidiasis. It actually occurs naturally on the skin. Overgrowth of Candida albicans can occur on the skin, especially in intertriginous areas (e.g., gluteal folds, under the breast, axillae). Risk factors for infection include moisture, immunocompromised state (HIV, DM, transplant patients), certain medications, and smoking. It is also very common in infants (secondary to prolonged wetness and diaper wear). Clinical features include erythematous patches and satellite lesions. Treatment is topical antifungals (e.g., clotrimazole, miconazole, nystatin for 7-14 days).

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Dermatology ⇒ Fungal Infections ⇒ Candidiasis

Also covered as part of the internal medicine rotation, pediatric rotation, and women's health rotation and topic lists

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