Doctors’ mistakes in choosing tactics for examining and treating patients with superficial candidiasis of skin and mucous membranes

Sokolova T.V.; Malyarchuk A.P.

doi:https://doi.org/10.17116/klinderma202019031343

Sokolova T.V.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

SPIN RSCI: 6402-9066
Scopus AuthorID: 57213089279
ORCID: 0000-0003-3573-0874

Malyarchuk A.P.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

Doctors’ mistakes in choosing tactics for examining and treating patients with superficial candidiasis of skin and mucous membranes

Authors:

Sokolova T.V., Malyarchuk A.P.

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Journal: Russian Journal of Clinical Dermatology and Venereology. 2020;19(3): 343‑354

DOI: 10.17116/klinderma202019031343

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To cite this article:

Sokolova TV, Malyarchuk AP. Doctors’ mistakes in choosing tactics for examining and treating patients with superficial candidiasis of skin and mucous membranes. Russian Journal of Clinical Dermatology and Venereology. 2020;19(3):343‑354. (In Russ.)
https://doi.org/10.17116/klinderma202019031343

Подписка 2026 Клиническая дерматология и венерология (Russian Journal of Clinical Dermatology and Venereology)

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INTRODUCTION

Candidiasis of skin and mucous membranes is often found in practice of doctors of all specialties. Years of experience in advisory work indicate that doctors often make mistakes in the diagnosis and treatment tactics of this pathology. The presence of non-invasive process in patients indicates the advisability of using topical antimycotics.

AIM OF STUDY

Analysis of dermatovenerologists’ mistakes in choosing the tactics for examining and treating patients with superficial candidiasis of the skin and/or mucous membranes.

MATERIAL AND METHODS

The material was obtained during examination and treatment of patients who were referred for advisory appointment with the authors of this article during 5 years. The diagnosis was confirmed clinically, microscopically (pseudomycelia filaments, budding cells), bacteriologically and by determining the level of specific IgM for Candida albicans.

RESULTS

Cases of medical errors are ranked in 5 categories: 1) the identification of not all foci of candidal infection and, as a result, the persistence of disease; 2) the prescription of systemic antibiotics, corticosteroids and cytostatics without covering with antimycotics for diseases of various origins; 3) the possibility of oral candidiasis in patients with bronchial asthma using topical inhaled dosage forms of corticosteroids; 4) complication of candidal contamination of the lesions with dermatoses of intertriginous localization; 5) relapses of urogenital candidiasis in men as a result of reinfection from a woman with untreated candidal vulvovaginitis.

CONCLUSION

The article is intended to increase the level of professional training of dermatovenerologists and doctors of related specialties. The authors’ experience indicates the high therapeutic efficacy of sertaconazole and povidone iodine in the treatment of candidiasis of various localization.

Keywords:

candidiasis of skin

mucous membranes

errors in diagnosis and treatment

sertaconazole

povidone-iodine

Authors:

Sokolova T.V.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

SPIN RSCI: 6402-9066
Scopus AuthorID: 57213089279
ORCID: 0000-0003-3573-0874

Malyarchuk A.P.

Medical Institute of Continuing Education of the Federal State Budgetary Institution of Higher Education «Moscow State University of Food Production»

Received:

24.03.2020

Accepted:

19.04.2020

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References:

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