Erosio interdigitalis blastomycetica: A review of interdigital candidiasis.

Authors:
Emma Schlager
Emma Schlager
Michigan State University College of Human Medicine
East Lansing | United States
Kurt Ashack
Kurt Ashack
Michigan State University College of Human Medicine
United States
Amor Khachemoune
Amor Khachemoune
Harvard Medical School
United States

Dermatol Online J 2018 Aug 15;24(8). Epub 2018 Aug 15.

Veterans Affairs Medical Center Brooklyn, New York SUNY Downstate, Department of Dermatology, Brooklyn, New York.

Erosio interdigitalis blastomycetica (EIB) is a Candida infection affecting the third web space, between the third and fourth fingers. In 1915, Gougerot and Goncea first described saccharomycetic organisms isolated from the hands and feet. Johannes Fabry later named it in 1917, well before the genus Candida was introduced in 1923. EIB is most common among those who work with their hands frequently in water, such as dishwashers, launderers, bartenders, and homemakers. Clinical presentation most commonly consists of a central erythematous erosion surrounded by a rim of white macerated skin involving at least one interdigital web space. The differential diagnosis is narrow, consisting of irritant contact dermatitis (ICD), erythrasma, inverse psoriasis, and bacterial infection (i.e. impetigo). The diagnosis is made by clinical examination in addition to fungal culture and KOH testing. The prognosis is good and treatment options include avoidance of frequent water immersion and topical or oral antifungal agents. Suspicion for secondary infections such as erysipelas and cellulitis should remain high until lesions have resolved. This review aims to address the history, epidemiology, pathophysiology, histopathology, clinical presentation, differential diagnoses, diagnosis, prognosis, and management of EIB. It also suggests an alternative name in place of the current misnomer.

Download full-text PDF

Source

Still can't find the full text of the article?

We can help you send a request to the authors directly.
August 2018
16 Reads

Publication Analysis

Top Keywords

web space
8
interdigitalis blastomycetica
8
clinical presentation
8
erosio interdigitalis
8
good treatment
4
bartenders homemakers
4
treatment options
4
options include
4
launderers bartenders
4
homemakers clinical
4
prognosis good
4
koh testing
4
commonly consists
4
presentation commonly
4
testing prognosis
4
dishwashers launderers
4
culture koh
4
water dishwashers
4
immersion topical
4
common work
4

Similar Publications