Artigo Acesso aberto Produção Nacional Revisado por pares

Candidose hiperplásica em palato desenvolvida por contato à glossite romboide mediana

2010; Elsevier BV; Volume: 76; Issue: 1 Linguagem: Inglês

10.1590/s1808-86942010000100023

ISSN

1808-8694

Autores

Vivian C. Galletta, Márcia Sampaio Campos, Sílvio K. Hirota, Dante Antônio Migliari,

Tópico(s)

Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis

Resumo

A male white patient aged 41 years was referred to the Stomatology Unit with a histopathological diagnosis of hyperplastic candidosis with modera-te dysplasia on the palate. The clinical examination showed a white plaque measuring about 2 cm in diameter, with an erythematous halo, not removable by scraping (Fig. 1a). Also there was an erythematous atrophic area over which was a white plaque shaped similarly to the palatal lesion, on the dorsum of the tongue, which suggested candidosis as-sociated with median rhomboid glossitis (Fig. 1b). Cytology and PAS staining con-firmed the presence of Candida hyphae.The patient had no history of systemic diseases and reported not using systemic or local medication. Laboratory exams did not reveal anemia, diabetes, or HIV infection. The patient used a partial removable dental appliance that did not make contact with the palatal lesion. The patient smoked but did not consume alcohol chronically.Treatment with oral miconazole 20 mg gel, TID, during four weeks, resol-ved significantly both lesions. Cytology of both areas after treatment showed that Candida was absent; a biopsy of the residual lesion revealed hyperkeratosis without dysplasia.

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