|LETTER TO EDITOR
|Year : 1991 | Volume
| Issue : 4 | Page : 199
Vaginal candidosis in folliculitis decalvans
N A Madnani
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Madnani N A. Vaginal candidosis in folliculitis decalvans. Indian J Dermatol Venereol Leprol 1991;57:199
To The Editor,
I write with reference to the letter to the Editor entitled `Vaginal Candidosis in Folliculitis Decalvans' By R K Bansal, V B Dixit, K K Bhatia and S D Chaudhary, Ind J Dermatol Venereol Leprol 1990: 56:408.
I am neither convinced with their diagnosis of a folliculitis decalvans nor the association with vaginal candidosis on the basis of a reduced cell-mediated immunity for the following reasons :
A 16-year-old unmarried female with vaginal candidosis had no other affected site of candidiasis to support the hypothesis of a reduced cell mediated immunity. Candida albicans may be isolated from vaginal cultures in 8% of normal women and the incidence increases in patients symptoms of vaginitis to 25%1. Local occlusion, moisture, menses, maceration and poor hygiene may predispose the individual to candidal infection.
The authors have not clarified the etiology of the follicular pustules in the axillary and pubic areas and whether any scarring of a folliculitis decalvans was evident there, or were they candidal lesions.
The histopathology of the permanent patches of alopecia on the scalp described as `acute and chronic inflammatory cells centered around follicles' may well describe early folliculitis of various etiologies. At the clinical stage described, it should have shown either a granulomatous infiltrate with foreign body giant cells or follicular destruction with fibrosis to support a diagnosis of a folliculitis decalvans.
Could, the alopecia have been a Pseudopelade of Brocq?
| References|| |
|1.||Gosien JB, Kobayashi GS: Mycological Infections in: Dermatology in General Medicine, 3rd ed, vol 2, Editors Fitzpatrick TB, Eisen AZ, Wolff K et al: McGraw Hill Book Company, New York, 1987, p.2234. |
|2.||Lever WF, Schaumberg Lever G: Bacterial Diseases in: Histopathology of the Skin, 5th ed, JB Lippincott, Philadelphi, 1975; p.272. |