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An. bras. dermatol ; 89(4): 641-644, Jul-Aug/2014. graf
Article Dans Anglais | LILACS | ID: lil-715547

Résumé

Chronic mucocutaneous candidiasis is a rare disorder characterized by persistent and recurrent infections by Candida due to changes in cellular immunity and may be associated with autoimmune endocrine disorders. It is refractory to the usual antifungal treatments, which merely control it with imidazole derivatives. This reports the case of a 50-year-old female patient who referred vaginal discharge associated with vulvar ulcerated lesions and whitish plaques on oral and genital mucous membranes of onset in adolescence besides cutaneous horns in nipples. The clinical picture, family history, culture and anatomopathological studies were consistent with chronic infection by candida. Treatment with systemic antifungals obtained partial response of lesions characterizing a clinical picture of Chronic Mucocutaneous Candidiasis.


Sujets)
Femelle , Humains , Adulte d'âge moyen , Candidose mucocutanée chronique/anatomopathologie , Mamelons/anatomopathologie , Peau/anatomopathologie , Antifongiques/usage thérapeutique , Biopsie , Candidose mucocutanée chronique/traitement médicamenteux , Candidose buccale/traitement médicamenteux , Candidose buccale/anatomopathologie , Candidose vulvovaginale/traitement médicamenteux , Candidose vulvovaginale/anatomopathologie , Fluconazole/usage thérapeutique , Résultat thérapeutique , Langue/anatomopathologie , Vulve/anatomopathologie
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