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Candidiasis Appearance: Removable creamy-white plaque (pseudomembranous)

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Candidiasis Appearance: Removable creamy-white plaque (pseudomembranous) Underlying mucosa is normal or erythematous Location: Tongue, palate, buccal mucosa 5D’s: Drugs, Dentures, Diabetes, Debilitation, Dryness DD: Cheek Chewing, Thermal burn, Chemical burn

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Candidiasis

Appearance:

Removable creamy-white plaque (pseudomembranous)

Underlying mucosa is normal or erythematous

Location: Tongue, palate, buccal mucosa

5D’s: Drugs, Dentures, Diabetes, Debilitation, Dryness

DD: Cheek Chewing, Thermal burn, Chemical burn

Tx: Systemic antifungals (fluconazole or ketoconazole)

Topical antifungals (clotrimazole, nystatin suspension)

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Angular Cheilitis

Appearance: fissured, erythematous

Location: commissure

Tx: Antifungal (Nystatin Crema)

Antifungal + corticosteriod (vytone, mycolog II)

If Antifungals don’t work try “Triple Antibiotic Ointment” (OTC)

In children, usually caused by staphylococcus not candidiasis

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Histoplasmosis

Most common systemic fungal disease in US

Most cases asymptomatic

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