Candida folliculitis B37.2

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.

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.

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

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

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).

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