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)

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

Histoplasmosis

Most common systemic fungal disease in USMost cases asymptomatic