Balanite Candidiásica

Epidemiologia
  • Mais frequente em homens não circuncidados
 
Apresentação clínica
  • Pápulas e pústulas vermelhas, puntiformes e dolorosas
  • Pústulas rompem rapidamente
  • Deixam anéis em forma de donut com 1-2 mm
 
 
Diagnosis
  • Subpreputial culture - although isolation of candida on culture does not prove causaility, as it may represent opportunistic infection of other underlying dematoses
  • Consider urinanalysis for glucose
  • Investigation for other causes, for example HIV
 
Tratamento
  • Antifúngico tópico
  • Clotrimazole 1% 2id 7-14 dias
  • Fluconazole 150mg oral single dose
  • Miconazole cream 2%
  • Nystatin cream 100.000 units/g - if resistance suspected, or allergy to imidazoles
  • Topical imidazole with 1% hydrocortisone - if marked inflamation is present
 
Routine treatment of sexual partners is not helpful