Question

During the intraoral examination, a translucent-to-whitish irregular film on the buccal mucosa is noted. The film is not removable with gauze. Which of the following conditions is MOST likely present?

a) Leukoplakia
b) Candidiasis
c) Lichen planus
d) Fordyce granules

Answer 1

The condition most likely present is Candidiasis, a fungal infection caused by the yeast Candida. It can manifest as oral thrush with a translucent-to-whitish irregular film on the buccal mucosa. Treatment includes topical and systemic antifungal medications.

Step-by-step explanation:

The condition that is most likely present is Candidiasis. Candidiasis is a fungal infection caused by the yeast Candida. It can manifest in different parts of the body, including the mouth. The presence of a translucent-to-whitish irregular film that is not removable with gauze on the buccal mucosa is characteristic of oral candidiasis, also known as thrush.

Candidiasis can occur in individuals with weakened immune systems, such as those with HIV/AIDS, or as an opportunistic infection in pregnant women. Treatment includes topical antifungal medications like nystatin or clotrimazole oral suspensions, and in more severe cases, systemic azoles such as fluconazole or itraconazole may be prescribed.

Answer 2

The condition most likely present with a non-removable whitish film on the buccal mucosa is candidiasis, indicated by white patches and pseudomembranes, treatable with antifungal medications. Option b) Candidiasis is the correct answer.

Step-by-step explanation:

When observing a translucent-to-whitish irregular film on the buccal mucosa that is non-removable with gauze, candidiasis is the most likely condition present. Candidiasis, or thrush as it is commonly known, is indicated by white patches and pseudomembranes.

These white lesions can be indicative of an overgrowth of the yeast Candida albicans, which is known to occur opportunistic infections often linked to an immune-compromised state, such as in HIV patients.

Candidiasis is treated with a range of antifungal medications, including topical agents like nystatin or clotrimazole oral suspensions and, in more serious cases, systemic azoles like fluconazole or itraconazole, or even amphotericin B for severe or resistant strains of Candida.