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Pseudomembranous candidiasis — NDEB AFK MCQ

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EasyOral PathologyPseudomembranous candidiasisNDEB AFK

A denture wearer using inhaled corticosteroids has white plaques on the palate and buccal mucosa that wipe off, leaving an erythematous surface. There is mild burning. What is the most likely diagnosis?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Pseudomembranous candidiasis

White plaques that wipe off to reveal erythema are typical of pseudomembranous candidiasis, especially with dentures and inhaled corticosteroids. Leukoplakia and frictional keratosis generally do not wipe off. The pearl is to address predisposing factors such as denture hygiene, night wear, xerostomia, and steroid inhaler rinsing.

Reference: Canadian oral medicine reference texts; NDEB KSAs 2024