Prevalence of Candida in saliva and skin lesions of Psoriasis Vulgaris patients

Document Type : Original Articles

Authors

1 Dermatology Department, Mashhad University of Medical Sciences, Mashhad, Iran

2 Iranian Academic Center for Education, Culture, & Research, Mashhad, Iran; Iranian Academic Center for Education, Culture, & Research (ACECR), Mashhad, IR Iran

3 Parasitology Department, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Parasitology Department, Mashhad University of Medical Sciences, Mashhad, Iran; Iranian Academic Center for Education, Culture, & Research (ACECR), Mashhad, IR Iran

Abstract

Knowledge is of great importance; therefore it is very crucial to use an antifungal agent as
additional treatment for psoriasis in patients. This study was designed to evaluate the
presence of Candida albicans and other species of Candida in the saliva and skin of 50
psoriatic patients. The result of this study was compared to the control group of 50
healthy people. This research study was carried out from July 2011 to July 2012 on fifty
(50) psoriatic cases. Demographic information such as age, sex, psoriasis duration,
involved areas and severity of involvement, family history, possible past diseases, and
drug history were collected. Quantitative evaluation was carried out on the saliva and skin
culture of both healthy (control) and psoriatic patient to diagnose candida. Candida
albicans was found in 34% of the saliva of patients with psoriasis and only 2% was found
in the control group which was statistically significant (P<0.05). Smear and culture of
Candida in the saliva of patients with psoriasis was 46% and 18% in the control group,
statistically significant at P<0.05. From the quantitative evaluation, among the 46% of
psoriatic patients and 18% of control group with candida, 28% and 2% were severe,
respectively. The severity of candida between case and control groups was statistically
significant (P<0.05). Oral Candidiasis can be observed more commonly in Psoriatic
patients compared to normal ones.

Keywords


1. Ahmad, A. B., Azmi, M. G., Mustafa, M., 2012. Oral Candida colonization and candidiasis in patients with psoriasis. Oral medicine, 114(5): 610-5.
2. Buchner, A., Begleiter, A., 1976. Oral lesions in psoriatic patients. Surgery Oral Medicine Oral Pathology, 41: 327-32.
3. Christophers, E., 2001. Psoriasis - epidemiology and clinical spectrum. Clinical Expimetal Dermatology, 26: 314-320.
4. Fredriksson, T., Pettersson, U., 1978. Severe psoriasis – oral therapy with a new retinoid. Dermatological, 157: 238–244.
5. Flytström, I., Bergbrant, I. M., Brared J., 2003. Microorganisms in intertriginous psoriasis: no evidence of Candida. Acta Dermato Venereologica, 83: 121-123.
6. Hamilton, J. N., Thompson, S. H., Scheidt, M. J., 1992. Correlation of the subclinical candida colonization of the dorsal tongue surface with the Walter Reedstaging scheme for patients infected with HIV .Oral Surgery Oral Medicine Oral Pathology, 73: 47- 51.
7. Heller, M. M., Wong, J. W., Nguyen, T. V., 2012. Quality-of-life instruments: evaluation of the impact of psoriasis on patients. Dermatology Clinical, 30: 281–291.
8. Henseler, T., 1995. Mucocutaneous candidiasis in patients with skin diseases. Mycoses, 38:1:7-13.
9. Hernandez, P.F., Jaimes-Aveldañez, A., Urquizo-Ruvalcaba, M. L., 2008. Prevalence of oral lesions in patients with psoriasis. Medicine Oral Pathology Oral Cir Bucal, 13: 703- 8.
10. Jennifer, A., Steele, M. D., Pearl C., 2005. Topical tacrolimus in the treatment of inverse psoriasis in children. Search Results. Journal of the American Academy of Dermatology, 53: 713- 716.
11. Krcmery, V., Barnes, A. J., 2002. Non- Candida albicans spp. causing fungaemia: pathogenicity and antifungal resistance. Journal Hospital Infections, 50: 243-60.
12. Leibovici, V., Alkalay, R., Hershko, K., 2008. Prevalence of Candida on the tongue and intertriginous areas of psoriatic and atopic dermatitis patients. Mycoses, 51: 63- 6.
13. Leung, D. Y. M., Walsh, P., Giorno, R., 1993. A potential role for superantigens in the pathogenesis of psoriasis. Journal Investigation Dermatology, 100: 225-8.
14. Myers, W. A., Gottlieb, A. B., Mease, P., 2006. Psoriasis and psoriatic arthritis: clinical features and disease mechanisms. Clinical Dermatology, 24: 438-447.
15. Nunez, M. J., Novio, S., Suarez, J.A., Balboa, J., Freire-Garabal, M., 2010. Effects of Psychological Stress and Fluoxetine on Development of Oral Candidiasis in Rats. Clinical Vaccine Immunology, 17(4): 668–673.
16. Olesen, A. B., 2012. Chronic Skin Disease and Risk of Infection. The Open Infectious Diseases Journal, 6: 60-64.
17. Picciani, B. L., Michalski-Santos, B., Carneiro, S., 2013. Oral candidiasis in patients with psoriasis: Correlation of oral examination and cytopathological evaluation with psoriasis disease severity and treatment. American Academy of Dermatology Journal, 68: 986- 90.
18. Raychaudhuri, S. P., Farber, E. M., 2001. The prevalence of psoriasis in the world. European Academy of Dermatology and Venereology, 15: 16- 17.
19. Rezaei, A., Shahmoradi, Z. A., Asilian, A., 2004. Investigation of the association between psoriasis and oral candida albicance. Journal of Arak University of Medical Sciences, 7: 34 – 38.
20. Rosenberg, E. W., Belew, P. W., 1981. Microbial factors in psoriasis. Archives of Dermatology, 4: 118- 143.
21. Skinner, R. B., Rosenberg, E. W., Belew, P. W., 1982. Improvement of psoriasis with cholestyramine. Archives Dermatology, 118- 144.
22. Skinner, R. B., Rosenberg, E. W., Noah, P. W., 1994. Psoriasis of the palms and soles is frequently associated with oropharyngeal Candida albicans. Acta Dermato Venereologica, 186: 149-50.
23. Taheri Sarvtin, M., Shokohi, T., Hajheydari, Z., Yazdani, J., Hedayati, M. T., 2014. Evaluation of candida colonization and specific humoral responses against Candida albicans in patients with psoriasis. International Society of Dermatology: Home, 53: 1423- 1541.
24. Vazquez, J. A., Sobel J. D., 2002. Mucosal candidiasis. Infectious Disease Clinical North America, 16:793-820.
25. Waldman, A., Gilhar, A., Duek, L., 2001. Incidence of Candida in psoriasis: a study of the fungal flora of psoriatic patients. Mycoses, 44: 77-81.