Thursday, February 3, 2011

Oral Candidiasis Signs and symptoms

Oral Candidiasis
Signs and symptoms
Acute pseudomembranous candidiasis. It is characterized by white patches on the surface of oral mucosa, tongue or other areas of the body. Confluent lesions develop in the plate that resembles curdled milk and removing shows an erythematous base and bleeding.
Erythematous candidiasis. It is characterized by erythematous areas on the dorsal decsrise generally tongue, palate or buccal mucosa. Lesions on the dorsal tongue appears as depapilate areas. Red areas are seen on the palace people with HIV. It describes and association with angular stomatitis.
Hyperplasia, chronic candidiasis (chronic leucoplakia). It is characterized by discrete lesions, supradenivelate, chronic areas ranging from pale, translucent, palpable, small, white boards until opaque, dense, large, hard or rough to the touch. It can also be observed scattered areas with homogeneous or nodular lesions. 6% of scattered counts Leucoplakia leucoplakiile candida. Leucoplakia candidiasis usually appears on the inner surface of the cheeks and rarely on the tongue.
Chronic multifocal candidiasis. In a minority of patients chronic candida infection can be observed in many different combinations in oral areas, including: angular stomatitis that is unilateral or bilateral and is found in carriers of teeth, leucoplakia retrocomisurala, which is the constant component of the fourfold, rhomboid glossitis median and palate injuries. Additional diagnostic criteria include: -Lesions longer than one month -Absence of predisposing medical conditions -Exclusion of individuals with radiation therapy or undergoing treatment with anti-inflammatory, immunosuppressive, cytotoxic or psychotropic substances, antibiotics. This type of candidiasis is the most common male smokers in the sixth decade of life. Antifungal therapy and healing lesions produce clinical improvement, recurrence is common, however, if smoking is not reduced.
Chronic atrophic candidiasis. Also called denture-induced stomatitis is characterized by chronic redness and swelling of the lining into contact with the surface of teeth. Mucosa below the lower teeth is rarely affected. Occasional hairline cracks appear, the typical patient is still asymptomatic. This form of candidiasis is classified into three clinical types: Localized simple inflammation or hyperemia-in needle pins -Type simple or generalized erythematosus presenting itself as diffuse erythema involving part or the entire mucosa covered teeth Granular-type (inflammatory papillary hyperplasia) involving the central area of the hard palate and alveolar edge.
Angular stomatitis (Cheilitis angular, Perles). Lesions affecting the mouth corners, cracks and ulcers are characteristic, along with erythema. It is associated with denture-induced candidiasis. It can be caused by Candida or Staphylococcus aureus. Angular stomatitis is an initial isolated sign of anemia or vitamin deficiency, such as vitamin B12 and resolve substantive if the disease was treated. Iron deficiency and other vitamin deficiencies are predisposing factors. Approximately 20% of patients have a less common form of candidiasis, angular granulomatosis. Angular stomatitis is described especially in people with HIV.
Median rhomboid glossitis (central papillary atrophy of tongue). Papillary atrophy is characterized by symmetrical and elliptical or diamond-shaped, mostly located in the middle of tongue papillae circumvalate previously. Occasionally looks exofitic lobe or hyperplasia. Histopathologic candidal hyphae infiltrating the superficial layers of the epithelium and hyperkeratosis observed an infiltration of polymorphonuclear neutrophilia.

1 comment:

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