Candida folliculitisB37.2

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Beard fungus lichen; candida foliculitis; candida folliculitis; Candidafolliculitis; folliculitis barbae candidamycetica; folliculitis candidamycetica

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DefinitionThis section has been translated automatically.

Rare folliculitis caused by Candida species, especially in the beard area, mostly in diabetes mellitus and weakened immune system (malignant lymphomas, leukemias, HIV/AIDS, often preceding long-term therapy with glucocorticosteroids or cytostatics.

PathogenThis section has been translated automatically.

Candida albicans, more rarely other Candida species.

EtiopathogenesisThis section has been translated automatically.

Predisposing factors that cause a general or local disturbance of the immune system are: diabetes mellitus, lymphomas, HIV/AIDS, leukemias, immunosuppressive and cytostatic therapy, long-term local therapy with glucocorticosteroids.

ManifestationThis section has been translated automatically.

Mostly occurring in middle-aged men.

LocalizationThis section has been translated automatically.

Beard area.

Clinical featuresThis section has been translated automatically.

Follicularly bound papules and pustules, possibly larger nodules interspersed with pustules, impetiginisation. Extensive, blurred redness and swelling of the skin.

DiagnosisThis section has been translated automatically.

Pathogen detection (native and cultural) from crusts and from depilated whiskers.

Differential diagnosisThis section has been translated automatically.

Impetigo contagiosa: lack of mycological evidence of Candida species

Tinea barbae: mostly extensive infestation; detection of dermatophytes

Folliculitis simplex barbae: lack of mycological evidence of Candida species

acne pustulosa: general acne disposition, seborrhoea

Eoosinophilic pustulose (infantile form): very itchy, follicular vesicles and pustules of 0.2-0.3 cm in diameter observed Bluteosinophilia!

Pustular psoriasis variants: rarely in the facial area

Complication(s)This section has been translated automatically.

Secondary bacterial infection.

General therapyThis section has been translated automatically.

Shave the beard. It is important to identify the predisposing factors (e.g. diabetes mellitus, antibiotic therapy, immunodeficiency diseases).

External therapyThis section has been translated automatically.

Remove the crusts with 2-5% salicylic acid ointment(e.g. Salicylvaseline Lichtenstein, R228 ) or oil or moist dressings. In the short term, moist compresses with antiseptic additives such as quinolinol (e.g. quinosol 1:1000, R042 ) or dilute potassium permanganate solution(light pink) may also be used. Later, broad-spectrum antifungal agents of the azole type such as 2% clotrimazole creams / ointments(e.g. R056, Canesten cream) or Ciclopirox (e.g. Batrafen cream).

Internal therapyThis section has been translated automatically.

In case of extensive infestation or in case of simultaneous candidosis of the oral mucosa or rectum, internal therapy with azole-type antifungals should be considered, e.g. with itraconazole (Sempera Kps.) 100-200 mg/day for 4-6 weeks or fluconazole once/day 50 mg p.o. for 4-6 weeks (in severe cases 100 mg/day p.o.). S.a.u. Candidosis.

LiteratureThis section has been translated automatically.

  1. Seebacher C et al (2006) Candidosis of the skin. J Dtsch Dermatol Ges 4: 591-596

Authors

Last updated on: 29.10.2020

Author: Prof. Dr. med. Peter Altmeyer