Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- creamy white or yellowish plaques, fairly adherent to oral mucosa
- burning oral pain
- cracks, ulcers, or crusted fissures radiating from angles of the mouth
Otros factores de diagnóstico
- unpleasant taste in the mouth
- lesions on any part of the oral mucosa
- atrophic, fiery red, flat lesions on the palate
- patchy areas of loss of filiform papillae on the dorsum of the tongue
- spotty red areas on the buccal mucosa
- lesions confined to the outline of a dental prosthesis
- dysphagia or odynophagia
- rhomboid outline on the dorsal aspect of the tongue
- continuous or patchy band of erythema, involving the free gingival margin
Factores de riesgo
- hyposalivation/xerostomia
- poor oral hygiene, especially among denture wearers
- malabsorption and malnutrition
- advanced malignancy
- cancer chemotherapy and radiotherapy
- HIV infection
- endocrine disturbance (e.g., diabetes mellitus, hypoparathyroidism, pregnancy, hypoadrenalism)
- immunosuppressive agents (e.g., local or systemic corticosteroid therapy)
- current or recent past use of broad-spectrum or multiple narrow-spectrum antibiotics
- extremes of age
- high carbohydrate diet
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- superficial smear of lesion for microscopy
Pruebas diagnósticas que deben considerarse
- biopsy of lesion
- culture of mouth rinse sample
- upper GI endoscopy with or without biopsy of lesions
- urinalysis, random or fasting blood glucose, or glucose tolerance test to exclude diabetes
- HIV antibody test
- sialometry
- electrolyte panel
Algoritmo de tratamiento
oral candidiasis
angular cheilitis
severely immunocompromised: prophylactic-therapy
Colaboradores
Autores
Fariba S. Younai, DDS

Professor of Clinical Dentistry
Chair, Division of Diagnostic & Surgical Sciences
UCLA School of Dentistry
Los Angeles
CA
Divulgaciones
FSY declares that she has no competing interests.
Revisores por pares
Joan A. Phelan, DDS
Chair of Department of Oral Pathology
New York University College Of Dentistry
New York
NY
Divulgaciones
JAP declares that she has no competing interests.
Giuseppina Campisi, DDS, PhD
Professor of Oral Medicine
Department of Oral Sciences
University of Palermo
Palermo
Italy
Divulgaciones
GC declares that she has no competing interests.
Agradecimiento de los revisores por pares
Los temas de BMJ Best Practice se actualizan de forma continua de acuerdo con los desarrollos en la evidencia y en las guías. Los revisores por pares listados aquí han revisado el contenido al menos una vez durante la historia del tema.
Divulgaciones
Las afiliaciones y divulgaciones de los revisores por pares se refieren al momento de la revisión.
Referencias
Artículos principales
National Institutes of Health, Centers for Disease Control and Prevention, HIV Medicine Association of the Infectious Diseases Society of America. Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV: Candidiasis (mucocutaneous). 2020 [internet publication].Texto completo
Pappas PG, Kauffman CA, Andes DR, et al. Clinical practice guideline for the management of candidiasis: 2016 update by the Infectious Diseases Society of America. Clin Infect Dis. 2016 Feb 15;62(4):e1-50.Texto completo Resumen
Artículos de referencia
Una lista completa de las fuentes a las que se hace referencia en este tema está disponible para los usuarios con acceso a todo BMJ Best Practice.

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Más DiferencialesGuías de práctica clínica
- Guidelines for the prevention and treatment of opportunistic infections in adults and adolescents with HIV: Candidiasis (mucocutaneous)
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