皮膚カンジダ症の種々相

VARIOUS PHASES OF CUTANEOUS CANDIDIASIS

　カンジダは口腔内，腸管内などに腐生的に存在し，皮膚表面にもしばしば認められ，病原菌としてはあまり重要な位置を占めていなかつたが，最近，コルチコイド外用薬の乱用のためか，多数の，従来あまり見られなかつた種々の型の皮膚カンジダ症が観察されるようになつた．そのうちの一部の症例をここに紹介する．

Recently (in 1970 and 1971), cases of various types of the cutaneous candidiasis, which were found rarely some time ago, increased in abruptly. The reason may be abuse of topical corticosteroid ointments.

Cases of simple diaper dermatitis was rare, while cases of erythema mycoticum infantile in varying degrees were often seen. There were sudamina-like candidiasis, which followed sudamina in babies, candidial intertrigo of the axillae and in the genitocrural regions, candidiasis on the penis, scrotum and female genitalia, and vaginal candidiasis. In some cases, each other of a couple were infected. Not a few cases presented generalized candidiasis, which showed papular, pustular, squamous, follicular and/or seborrheic dermatitis-like lesions over large areas of the entire body surface. Ggeneralized pustular type of cutaneous candidiasis and candidiasis accompanied by Bowen's disease-like precanc-erosis were also observed.