What is Endocrinology - What fungal mucocutaneous infection is most frequently linked to diabetes mellitus?
Candida albicans typically causes candidiasis, the most prevalent mucocutaneous fungal infection linked to diabetes. Vulvovaginitis is more common in women. According to one study, 2/3 of diabetic patients have Candida albicans cultures that are positive. The rate of positive cultures is close to 99% in women who have vulvitis symptoms and indications. The same is true for diabetic men and women who report anal pruritus: positive cultures are highly common in these patients. Thrush, perlèche (angular cheilitis), intertrigo, erosio interdigitalis blastomycetica chronica, paronychia (infection of the soft tissue surrounding the nail plate), and onychomycosis are further mucocutaneous types of candidiasis (infection of the nail). The mechanism seems to be connected to elevated glucose levels, which act as a substrate for the growth of Candida species. Patients should get a diabetic screening if they have recurrent cutaneous candidiasis in any form.
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