Pathology · single question
A patient on albuterol (inhaler) presents with a white, WIPEABLE lesion on the soft palate. What is this?
Show answer and explanation
Correct answer: C. Pseudomembranous Candidiasis — most common type in asthmatics using inhalers
✓ C) Pseudomembranous Candidiasis is correct.
Inhaled corticosteroids (in combination inhalers like fluticasone/salmeterol = Advair) cause local immunosuppression in the oropharynx → Candida overgrowth → pseudomembranous candidiasis (thrush). Key feature: white plaques that WIPE OFF, leaving an erythematous base. Most common in asthmatic patients using inhalers. Prevention: rinse mouth with water and spit after every inhaler use. Leukoplakia = cannot be wiped off. Nicotinic stomatitis = red dots on keratotic palate (from pipe smoking, not inhaler).
Inhaled corticosteroids (in combination inhalers like fluticasone/salmeterol = Advair) cause local immunosuppression in the oropharynx → Candida overgrowth → pseudomembranous candidiasis (thrush). Key feature: white plaques that WIPE OFF, leaving an erythematous base. Most common in asthmatic patients using inhalers. Prevention: rinse mouth with water and spit after every inhaler use. Leukoplakia = cannot be wiped off. Nicotinic stomatitis = red dots on keratotic palate (from pipe smoking, not inhaler).