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
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 USMost cases asymptomatic