Other contributing conditions are maceration from excessive salivation or licking, poorly fitting dentures, and a larger fold from diminished alveolar ridge height. Candida is present in most, but not all, patients with this disorder. Soreness, burning, and roughness of the affected areas are the usual symptoms. Candidiasis of the tongue can also take the form of median rhomboid glossitis, a diamond-shaped area of atrophic papillae in the central portion of the lingual surface. Candida infection may occur in any skin fold, causing soreness and itching.
Obese patients are especially vulnerable.
Commonly affected areas include the groin, inframammary regions, and folds of the abdominal pannus. Soreness and burning are common symptoms. Balanitis may occur spontaneously as well. Pus may be present. Diagnosis Scrapings from cutaneous or mucous membrane lesions may be mixed with KOH solution and examined under the microscope for budding yeasts with pseudohyphae.