40 year old patient presented with Painless White patches on Dorsal Tongue surface for the past 1 month, according to him, he used antifungals and antibiotics but it didn’t work on him. What is your diagnosis approach?
Coated tongue with white patch of candiasis Rx clotrimazole +kenacort gel frequently Oral antibiotics tab azithromycin500mg 1od Tab flucanazole 200mg 1od Multivitamins supplements avoid aggravating factors like tobacco chewing gutka etc
Needs further investigations and evaluation to conclude diagnosis and line of treatment. Improve general health and oral hygiene. Multivitamins and antioxidants orally. Clean area with diluted betadine lotion regularly and gently till reports complied.
Oral thrush DD Leukoplakia SMEAR from the lesion, biopsy will confirm In the meanwhile, Flucanazole, 150 mg ,OD ,with Clotrimazole mouth oral application can be tried Can be checked for HIV and STD .
Oral Leukoplakia oral prophylaxis and treatment according antifungal antibiotics futher evaluation need biopsy to be done
Speckled leukoplakia Hyperkeratosis Advice biopsy and confirm Tell to maintain proper oral hygiene
Mostly it’s an Oral Thrush ? Oral Lichen planus Not to worry/hurry Rule out for Diabetes n HIV infection. Rx. Cap itrac’zole 200 mg EOD Tab Sporidex 500 mg BID Oral Candid lotion local app It takes bit time may b 2-3 weeks Oral hygiene is must, periodicalllybchek n see that not effecting the trachea/esophagus.
? LEUKOPLAKIA.. ? ORAL TRUSH .. CANDIDIASIS .. NEED'S.. HPE..STUDY..BIOPSY..
Agree with@Pushker Bhomia it's oral leukoplakia of tongue
Try to scrap the lesion ....if it leaves a raw surface behind its candidiasis......else go for biopsy ....looks like leukoplakia ... ...treat this with laser....
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