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March 1987

Malodorous Intertriginous Pustules and Plaques

Author Affiliations

Stanford (Calif) University

Arch Dermatol. 1987;123(3):393-394. doi:10.1001/archderm.1987.01660270131032

REPORT OF A CASE  A 68-year-old woman was referred to the dermatology service of Stanford (Calif) University Medical Center with a three-month history of a progressive skin disease. According to the patient, her problem began with a persistent "sore throat" that had been diagnosed clinically by her internist as a streptococcal infection and treated with a course of oral phenoxymethyl penicillin. The sore throat persisted and was later accompanied by a slowly extending intertriginous eruption consisting of malodorous plaques and pustules. When direct wet-mount skin preparations demonstrated pseudohyphae, the patient was presumed to have chronic mucocutaneous candidiasis; however, treatment with systemic antifungal agents was without benefit. With the exception of obesity, the patient was otherwise in excellent health.Physical examination revealed a moderately obese female whose skin emanated a musky odor. Large vegetating plaques with a moist denuded surface were symmetrically localized to the axillary, inguinal, abdominal, and inframammary folds

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