RT Journal Article
SR Electronic
T1 Resistant “Candidal Intertrigo”: Could Inverse Psoriasis Be the True Culprit?
JF The Journal of the American Board of Family
                Medicine
JO J Am Board Fam Med
FD American Board of Family Medicine
SP 211
OP 214
DO 10.3122/jabfm.2013.02.120210
VO 26
IS 2
A1 Wilmer, Erin N.
A1 Hatch, Robert L.
YR 2013
UL http://www.jabfm.org/content/26/2/211.abstract
AB Inverse psoriasis is a disorder of intertriginous areas of the skin that can easily masquerade as candidal intertrigo. Candidal rashes are commonly encountered in primary care and typically respond promptly to therapy. When treatment fails, nonadherence to treatment and medication resistance often are suspected; however, the possibility of an incorrect diagnosis should also be entertained. This article presents the case of a patient with inverse psoriasis who was misdiagnosed with recurrent candidal intertrigo multiple times. The diagnosis and treatment of inverse psoriasis is reviewed, and other conditions that may be confused with Candida and inverse psoriasis, including bacterial intertrigo, tinea, and seborrheic dermatitis, are discussed. When confronted with a case of “resistant Candida,” consideration of inverse psoriasis and other Candida mimics can allow physicians to diagnose and treat these conditions more effectively, avoiding the frustration experienced by our patient.