Small red scaly patch on breast5/23/2023 1,2 We did not perform a culture to test for C albicans specifically in our case patient, but we see this condition frequently in our practice, so we highly suspected it to be the causative agent. Candida albicans ( C albicans) is the most common of the more than 20 species of Candida yeasts that may cause infection in humans. Allergic contact dermatitisĬandidiasis is a fungal infection caused by yeasts belonging to the genus Candida. ![]() We took a scraping and biopsy, and we asked her to return for a follow-up appointment in 2 weeks.īased on the photographs and the case description, what is your diagnosis?Ī. Upon examination, the rashes were erythematous and scaly with satellite lesions ( Figures).They were present beneath each breast and extended no further than the skin covered by the overhanging appendages. Recent blood tests were reviewed and appeared to be within the normal limits. She was treating her rash with an over-the-counter topical cream and powder, but received no relief in symptoms. She had a history of type 2 diabetes and hypertension, for which she was taking metformin and lisinopril, respectively. She described the rash as feeling moderately itchy and stated that it had not spread beyond the submammary folds. A 68-year-old woman presented with a 6-week history of a persistent rash that had appeared simultaneously beneath both breasts.
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