A Case of Superficial Hyperkeratotic Candidiasis of Palms Successfully Treated with Itraconazole

Abstract

We report a case of a 32-year-old healthy woman with superficial hyperkeratotic candidiasis of the palms, a rare type of superficial candidiasis. She visited our hospital because she developed scaly erythema with hyperkeratosis on both palms. Application of a topical steroid as well as plastic gloves were considered to be contributing factors. Candida albicans (sero-typeA) was isolated from scales of both palms. Direct examination using KOH on the first visit showed numerous hyphae but no spores that were not characteristic features of candidiasis, but on the second visit 2weeks later, the topical steroid had stopped showed characteristic features of candidiasis. After treatment with oral itraconazole, direct examination method and culture of the palms became negative and the lesions were almost cureed.