Dermatology - Genital Penile Candidiasis
Candida species that are normally present in the normal skin flora tend to overgrow when they cause candidiasis on the nonkeratinized vaginal mucosa, or preputial sac of the penis. There are sensitive and itchy lesions on the preputial sac and glans. Damage Diffuse erythema and maculopapular lesions are seen. Under the foreskin, there is edema, ulcerations, prepuce fissuring, and white plaques. Clinical confirmation of the diagnosis is obtained using potassium hydroxide (KOH) microscopy and/or culture; lichen planus, eczema, and psoriasis are included in the differential. Topical azole cream is the treatment; in the event of recurrences, screen and treat sexual partners as necessary.
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