A 72 y/o male with a history of COPD and recent pneumonia was treated with oral prednisone 40 mg daily, antibiotics, and a fluticasone-salmeterol inhaler. One week during treatment, the patient developed painful oral lesions. examination revealed many white-tan plaques on the lower lips, tongue, and posterior aspect of the oropharynx. Lesions do not respond to nystatin oral suspension. What is diagnosis and management for the case?

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Allergic reaction caused due to usage of steroids Prednisone may weaken your immune system. A weakened immune system makes you more likely to get infections.  These infections can be serious or deadly in people who have had them before and who have lowered immunity due to this drug. Prednisone is used to treat a variety of diseases and the dosage depends on patient to patient As soon as some allergic reacyion is being noticed drug shud be stopped. Also it has interactions with other drugs also so sensitivity tests will help in prescribing drugs in future.

Candidial infection

Candidial stomatitis

Stomatitis due to candida.oral fluconazole and topical clotrimazole.

ORAL. STEROID. INDUCED ORAL. SUPRAINFECTION.... AS ... SEVERE. ORAL. CANDIDIASIS WITH SORE. TONGUE.... THIS. HAS. RESULTED. DUE. TO... DISTURBNCE. IN GASTRO INTESTINAL. TRACT. NORMAL. FLORA .

Steroid induced stomatitis with candidiasis Azithromycin 500mg od. NSAIDS tds orally. Itraconazole 200mg od. Multivitamins and antioxidants orally. Frequent mouth wash with diluted betadine lotion apply clotrimazole+ boroglycerine mixed with sporolac locally. Improve general health and mouth hygiene.

Thanks Dr Pushkar Bhomia
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Drug reaction zocon gel flucanazole150mgod becozinc folic acid liquid borax zytee lotion kenacort gel mebex

Candidial stomatitis

Steroids induced stomatitis with candiasis Clotrimazole +kenacort gel frequently applied Mucopain gel is frequently applied Oral antibiotics like azithromycin500mg 1od Bcomplex supplements Oral antifungals like flucanazole 200mg 1od Review after one week

Thanx dr Jivan Rathod
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Candidial stomatitis

Tnx Sir Agarwal Sb
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