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Candida Granuloma. Presented by Marvin Rapaport, MD.
This 21-year-old white woman had a severe sore throat in 1962, which was treated with antibiotics. Shortly after this, thrush developed, for which she was treated with nystatin (Mycostatin) oral suspension with no benefit. In 1966, paronychia of the right middle finger was noted. The mouth lesions and paronychia have persisted. For one year, in 1958-1959, she had a widespread Epidermophyton floccosum infection of the scalp and face which resisted treatment until griseofulvin was used. With griseofulvin, this condition cleared in three weeks. Her general health has been excellent, with no increased incidence of bacterial or viral infections. Family history is noncontributory. Examination revealed erythema of the palate, buccal mucosa and, throat. The palate contained a granulomatous white-gray mass. On the right third finger was a chronic severe paronychia and a destroyed nail. The rest of the examination was normal. Complete blood cell
JOINT MEETING THE LOS ANGELES DERMATOLOGICAL SOCIETY THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES THE UCLA MEDICAL GROUP. Arch Dermatol. 1968;98(4):431-434. doi:10.1001/archderm.1968.01610160105022