Abstract

Chronic mucocutaneous candidiasis is a rare syndrome characterized by persistent and refractory infection of the skin, nail and mucosal tissue by yeasts of the genus Candida. A 70-year-old woman presented with the following skin lesions: ill-defined annular shaped whitish macules on the upper and lower lips accompanying dryness, pain and burning sensation, and yellowish discoloration with onycholysis of the right 4th finger nail. The upper lip lesion showed histopathologic feature of band-like infiltration of lymphocytes in the upper dermis, consistent with lichen planus. But, systemic glucocorticoid was not effective in treating erosive lip lesions. KOH examination and fungal culture of specimens from the upper lip showed hyphal elements and growth of Candida albicans, respectively. Antifungal agent

was administered. After the oral medication, skin lesions were improved but there was repeated recurrence. We report a case of chronic mucocutaneous candidiasis misdiagnosed as lichen planus.

Keywords

Chronic mucocutaneous candidiasis Lichen planus

KJMM 2013 March;18(1):11-15(5). Epub 2016 February 17
Copyright © 2013 by Korean Journal of Medical Mycology

Language

Korean/English

Author

Byong Han Song; Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea
Jong Hyun Yoon; Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea
Eun Joo Park; Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea
In Ho Kwon; Department of Dermatology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea
Kwang Ho Kim; Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea
Kwang Joong Kim; Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea

Corresponding

Kwang Ho Kim, Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea. Tel: +82-31-380-3765, Fax: +82-31-386-3761, e-mail: dermakkh@naver.com

Publication history

Received 9 December 2011; Revised 31 December 2012; Accepted 2 January 2013.

Acknowledgements

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Byong Han Song

Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea

Jong Hyun Yoon

Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea

Eun Joo Park

Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea

In Ho Kwon

Department of Dermatology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, Korea

Kwang Ho Kim

Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea

Kwang Joong Kim

Department of Dermatology, College of Medicine, Hallym University, Anyang, Korea

Since epub date 2016 February 17