Pathology · single question
A denture wearer with generalized palatal erythema also has a sore at the corner of the mouth. What is the best medication for the fungal lesion?
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Correct answer: D. Topical ketoconazole (or nystatin/clotrimazole) cream
- A. Acyclovir treats herpes labialis, which occurs on the vermilion rather than bilaterally at the commissures.
- B. A systemic antibacterial does not treat a fungal lesion.
- C. A corticosteroid alone would worsen an untreated fungal infection.
- D. Correct. Angular cheilitis in a denture wearer is usually Candida, often with a staphylococcal component. A topical azole antifungal treats it, and the underlying denture stomatitis and vertical dimension must also be addressed.