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May 1959


AMA Arch Derm. 1959;79(5):598-602. doi:10.1001/archderm.1959.01560170096023

Some Unusual Forms of Cutaneous Moniliasis. Presented by Dr. Stephen Rothman, The University of Chicago.

I shall discuss monilial granuloma and acrodermatitis enteropathica. But before I do so, I would like to say a few words about the picture of the not quite unusual generalized cutaneous and systemic type of moniliasis.

It is pretty much a valid axiom that if Candida albicans settles on dry, nonintertriginous skin and causes rapidly spreading lesions one has to look for some systemic factor which substantially increased the susceptibility of the skin to the pathogenic effect of C. albicans. In other words, in cases of thrush or monilial perleche or interdigital moniliasis or in moniliasis of the large folds the local suspectibility factor of continuous moisture suffices in most cases to explain the pathogenesis.

The commonest systemic susceptibility factor, of course, is diabetes. But even in diabetes, par

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