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ORAL PATHOLOGY! > Exam 5-INFECTIVE stomatitis-FUNGAL > Flashcards

Exam 5-INFECTIVE stomatitis-FUNGAL Flashcards

1
Q

What is the MOST COMMON oral fungal infection?

A

Candidiasis

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2
Q

Holy cannoli, what are the 6 forms of candidiasis?

A

1.Pseudomembanous 2.Erythematous “acute atrophic” 3. Chronic atrophic 4.Chronic Hyperplastic 5.Angular Chelitis 6. Median Rhomboid Glossitis

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3
Q

Which form of candida albicans is innocuous and which form is pathogenic?

A

Innocuous: yeast form…pathogenic: hyphae form

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4
Q

Which form of candadiasis is associated with white material that can be wiped off?

A

Pseudomembraneous candidiasis

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5
Q

What are the two possibilites for what is underneath the white material when it is wiped of in pseudomembranous candidiasis?

A

1.normal or 2.erythematous mucosa underneath

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6
Q

What are two common symptoms associated with pseudomembranous candidiasis?

A

burning sensation and metallic taste

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7
Q

What is another name for erythematous candidiasis?

A

Acute atrophic candidiasis

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8
Q

Which form of candidiasis is often associated with ANTIBIOTICS? “antibiotic sore mouth”

A

Erythematous “acute atrophic” candidiasis

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9
Q

Where does erythematous/acute atrophic candidiasis affect the oral cavity the most?

A

GINGIVA

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10
Q

Which type of papillae on the tongue is lost in erythematous/acute atrophic candidiasis?

A

loss of FILIFORM papillae

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11
Q

What is the official name for denture stomatitis/denture sore mouth?

A

CHRONIC atrophic stomatitis

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12
Q

Chronic atrophic stomatitis only occurs on WHICH arch? What is the MAIN cause?

A

maxilla…wearing dentures 24hrs/day

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13
Q

What are the 4 components of the white material that can be wiped off in pseudomembranous candidiasis?

A

tangled hyphae, yeasts, dead epithelial cells, and debris!

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14
Q

What is the nickname for Chronic Hyperplastic Candidiasis?

A

Candidal LEUKOPLAKIA

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15
Q

What is unique about the white lesion in chronic hyperplastic candidiasis compared to pseudomembranous candidiasis?

A

hyperplastic DOES NOT WIPE OFF!

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16
Q

Since chronic hyperplastic candidiasis is indistinguishable to leukoplakia, what do you do if the lesion does not respond to anti-fungals?

A

BIOPSY

17
Q

What is usually the cause of angular chelitis? (what %?) If it is not this etiology, what its the other option?

A

candida causes it 90% of the time, staph or strep the other 10%

18
Q

What are two PREdisposing factors to angular chelitis?

A

reduced vertical dimension and accentuated folds

19
Q

What is the nickname for Median Rhomboid Glossitis?

A

Central papillary atrophy

20
Q

What is the term for a well-defined, erythematous, rhomboid (diamond-shaped) area at midline of posterior dorsal tongue? What are the symptoms?

A

Median RHOMBOID Glossitis…Often asymptomatic

21
Q

What type of STAIN can the pathologist use to diagnose a Median Rhomboid glossitis?

A

PAS stain

22
Q

What is the cheap, topical antifungal that has generic options? What is the brand name though?

A

Nystatin (Mycostatin)

23
Q

Which antifungal did we learn comes in a troche (dissolvable tablet)?

A

CLOT-rim-AZole (Mycelex)

24
Q

Which type of anti-fungals are ABSORBED systmically? What are 2 examples?

A

the “azoles”-keto-CON-azole, flu-CON-azole

25
Q

What organ is MOST affected by DEEP fungal infections?

A

the LUNGS

26
Q

What are the two types of infection thus far that present ulcerations that can mimic squamous cell carcinoma?

A

DEEP fungal infections and TB

27
Q

What are the 5 examples of DEEP fungal infections?

A

B-A-C-C-H…..Blastomycosis-Aspergillosis-Cryptococcosis-Coccidiomycosis-Histoplasmosis

28
Q

What is the example for subcutaneous fungal infections? Gardening?

A

Sporo-TRI-Chosis

29
Q

What is the example of an opportunisitic fungal infection that can occur in immunosuppressed/diabetics?

A

Zygo-My-cosis

30
Q

How are DEEP fungal infections diagnosed and treated?

A

Biopsy, tissue stain, culture….systemic antifungal meds

ORAL PATHOLOGY! (40 decks)

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