Skin Yeast Infection Overview

Candidiasis is by far the most common type of skin yeast infection in humans. Candidiasis is infection with Candida species. More than 20 species of Candida exist. Any one of these can cause a skin yeast infection. The most common is Candida albicans. These fungii live on all surfaces of our bodies and only occasionally cause severe skin yeast infection. Various types of skin yeast infections are possible, including the following:

• Perl èche (also termed angular cheilitis) is a softening of the skin with deep creases around the angles of the mouth. 

• Thrush is a candidal infection of the mouth and throat. White patches appear in the mouth. Skin yeast infection such as Thrush occurs most commonly in the mouths of persons with chronic diseases including diabetes and HIV/AIDS, those with neoplasms, and those who use systemic corticosteroids. 

• Intertrigo is an irritation of the folds of the skin. Candidal skin yeast infections commonly occur in warm moist body areas, such as the underarms, in the groin, breasts, and under the folds of the skin of the abdomen of persons who are obese. Usually, skin effectively blocks yeast, but any breakdown or cuts in the skin may allow this organism to penetrate. 

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• Candidal diaper rash affects the diaper area. It causes candidial skin yeast infection and the impairment of the integrity of the skin due to moisture.

• Candidal body rash can result from excess sweating, antibiotic use, or lack of movement leading to skin occlusion. This type of skin yeast infection most commonly occurs in people with diabetes who are in the hospital.

• Candidal vulvovaginitis is a candidal infection of the vaginal tract. Candida albicansis a common inhabitant of the vaginal tract and can result in itching, redness, irritation, and burning. This is a very common skin yeast infection symptom.

• Congential cutaneous candidiasis results from infection of an infant during passage through the birth canal. The skin yeast infection rash appears within a few hours of delivery. 

• Candidal paronychia is a chronic inflammation of the nail fold. In some cases, it causes a discharge with pus, and a soft, watery, swelling of the area around the fingernail.

• Erosio interdigitalis blastomycetica is a candidal infection between the finger webs. Skin softening and redness occur. Moisture trapped by rings is thought to underlie the condition. Again this skin yeast infection is more commonly seen in people with diabetes and those who work with water (eg, house workers, launderers, and those who are exposed to strong chemicals). 

• Chronic mucocutaneous candidiasis is a condition that results from a genetic defect that leaves those who have it with thick horny skin lesions and with nail dystrophy.

• Systemic candidiasis is candidal infection throughout the body. This condition is rare. In systemic candidal disease, up to 75% of people may die. Even common mouth and vaginal yeast infections can cause critical illness and can be more resistant to normal treatment. This rash can manifest with bruises that can be felt. The bruises result from a reaction and response to Candida in blood vessels. Systemic yeast infections that return may be a sign of more serious diseases such as diabetes, leukemia, or AIDS.

Skin Yeast Infection Causes

Skin Yeast infection commonly called Candidal infections occur in warm moist body areas, such as underarms. Usually, the skin effectively blocks yeast, but any breakdown or cuts in the skin may allow this organism to penetrate.

Typical affected areas in babies include the mouth and diaper areas.

In adults, oral yeast infections become more common with increased age. Adults can also have yeast infections around dentures, under the breast and lower abdomen, in the nailbeds, and beneath other skin folds. Most of these candidal infections are superficial and clear up easily with treatment.

In women, vaginal yeast infections are the second most common reason for vaginal burning, itching, and discharge. Yeasts are found in the vagina of most women and can overgrow if the environment in the vagina changes. Antibiotic and steroid use is the most common reason for yeast overgrowth. However, pregnancy, menstruation, sperm, diabetes, and birth control pills can also contribute to developing a skin yeast infection. It is interesting to note that skin yeast infections are also more common after menopause.

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Skin Yeast Infection Symptoms

Signs and symptoms of a skin yeast infection (candidal infection) can vary depending on the location of the infection.

• In women, signs and symptoms of a vaginal yeast infection are a white cheesy discharge that typically itches and irritates the vagina and surrounding outer tissues. Occasionally, pain may occur with sexual intercourse or burning may occur with urination.

• In infants and adults a candidal skin yeast infection can appear many different ways.

  1. Oral candidiasis (thrush) causes thick white lacy patches on top of a red base on the tongue, palate, or elsewhere inside the mouth. These patches sometimes look like milk curds but cannot be wiped away as easily as milk can. If the white plaques are wiped away with a cotton swab, the underlying tissue may bleed. This infection may make the tongue look red without the white coating. Thrush can be painful and make eating difficult. Care should be taken to make sure a person with thrush does not become dehydrated when suffering from this type of skin yeast infection.

  2. Candidal organisms naturally live on the skin, but a breakdown of the outer layers of skin promote the yeast's overgrowth. This typically occurs when the environment is warm and moist, such as in diaper areas and skin folds. Superficial candidal skin infections appear as a red flat rash with sharp scalloped edges. Smaller patches of similar-appearing rash, known as "satellite lesions" or "satellite pustules," are usually nearby. These rashes may cause itching or pain.

  3. Intertrigo appears as softened red skin in body fold areas.

  4. Candidal paronychia appears as nail fold swelling.

  5. Mucocutaneous candidiasis appears with nail dystrophy.

  6. Erosio interdigitalis blastomycetica occurs in the finger webs. 

   

• Oral thrush requires medical treatment and a visit to the doctor. If children take no fluids for longer than 12 hours, contact your doctor for possible IV fluid replacement. Any fever or prolonged problems with feeding also warrant a visit to a doctor.

• Diaper rash or other candidal skin yeast infections can be treated with over-the-counter nystatin powders (Mycostatin, Nilstat, Nystat-Rx, Nystex, O-V Staticin) or antifungal creams and lotions.

  • If the rash worsens at any time or if the lesions do not clear up in 1-2 weeks, call a doctor.

  • Fever, chills, nausea, vomiting, or the rash spreading to other parts of the body may be a sign of a more serious illness.

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When to Seek Medical Care

Most cases of skin yeast infection candidiasis do not have to be treated in the hospital. People with weakened immune systems may have more serious infections, however, and may need to be hospitalized.

• Women should go to the hospital when fever, chills, nausea and vomiting, or abdominal pain accompanies vaginal discharge. These symptoms can indicate a more serious problem such as kidney infections, appendicitis, or pelvic inflammatory disease. These potential conditions need to be promptly investigated.

• If thrush interferes with drinking liquids or eating for long periods of time, people may need to be hospitalized to receive more aggressive medications and to reestablish body fluids.

• Skin Yeast Infections rarely require hospital treatment.

• People with weak immune systems run the risk of the candidal organisms growing in their blood or internal organs, which can cause life-threatening illness. IV medication may be necessary to combat this systemic illness. Your doctor should promptly investigate symptoms of illness or general feelings of unwellness. However in general skin yeast infection symptoms can be treated very well although attempts should be made to find out the actual cause of the skin yeast infection rather than just treating the symptoms.

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