Moniliasis, or Candidiasis

September 14, 2005
Robert P. Blereau, MD

The erythematous rash with punctate satellite lesions seen on the axillary and inframammary areas of a 46-year-old woman are typical of the lesions of moniliasis, or candidiasis. The patient reported that the pruritic rash had erupted 2 months earlier and worsened during the summer heat.

The erythematous rash with punctate satellite lesions seen on the axillary and inframammary areas of a 46-year-old woman are typical of the lesions of moniliasis, or candidiasis. The patient reported that the pruritic rash had erupted 2 months earlier and worsened during the summer heat.

A potassium hydroxide examination of the left axilla demonstrated hyphae typical of Candida. Intertriginous surfaces aggravated by heat and friction are opportune sites for candidal infection.

Robert P. Blereau, MD of Morgan City, La, always considers diabetes mellitus in patients who present with candidiasis. This patient's plasma glucose level was normal. The candidiasis was treated with miconazole cream and promptly resolved.