Endocrine Abstracts

Erosio interdigitalis blastomycetica is a special form candidiasis commonly seen in the third web space of digits, but can spread to all web spaces. Diagnosis is clinically suspected in the presence of maceration and ulceration, erythema, sometimes associated with pain. The main predisposing condition is chronic maceration (for example in launderers), irritant chronic agents and prolonged moisture affect skin barrier with subsequent colonization of Candida spp. Direct mycological examination and fungal culture certify the diagnosis and exclude similar clinical disorders, mostly irritant contact dermatitis and psoriasis. Erosio interdigitalis blastomycetica is frequently diagnosed in daily practice especially in diabetes patients. We present cases series of erosio interdigitalis blastomycetica as initial sign of undiscovered diabetes mellitus. Suspicion of diabetes should be made in any case of erosio interdigitalis blastomycetica. Screening for diabetes is mandatory in case of erosio interdigitalis blastomycetica.