Case of the Month
A 41-year-old woman presents with pruritic tiny papules and pustules on her lips for. The condition has been present for three years. She has seen seven doctors (4 dermatologists) without relief. She has used multiple topical steroids, antibiotics (mupirocin), antifungals (ketoconazole), and Protopic. Orally, she has failed prednisone and an oral dose of Diflucan (150 mg).What's Your Diagnosis?
Diagnosis: Cutaneous Candidiasis
I performed a cutaneous biopsy and, below left, is the dermatopathologic (PAS staining, 400X) findings. (courtesy of Erick Jacobson-Dunlap, MD, dermatopathologist)
I give credit to one of my mentors, Cindy Olson, MD, who told me to strongly consider candidiasis before the pathology results were known. As Dr. Olson recommended, I employed high dose oral antifungals. I used a Sporanox pulse pack, 2 (100 mg capsules) twice daily for seven days (28 pills total). The patient returned ten days after treatment, completely clear and absolutely thrilled. The after photo is below, right..
Look Good, Feel Great with Beautiful Skin ™
Dr. Crutchfield is a member or graduate of these prestigious organizations.
Demonstrating his education, experience, and commitment to providing patients with the highest quality medical & cosmetic dermatologic care.
When choosing your physician, demand nothing less. Remember..... "Quality Matters"
1185 Town Centre Drive, Suite 101
Eagan, MN 55123 USA
Phone: (651) 209-3600 Fax: (651) 209-3601
Hours: Monday-Friday 8am-5pm
Award-winning monthly newsletter sign up
All Photographs copyright protected, unauthorized use is prohibited.
Web Site by Arbor Bay Marketing