Milk-like plaques on the oral mucosa

Introduction There are milky white spots on the oral mucosa or fused into a piece, which is quite like a milk block. The white film covers the mucous membrane of the mouth and is not easy to wipe off. At the beginning, it becomes a small piece, gradually merges into a large piece, which looks like milk. It is a clinical manifestation of neonatal thrush. The oral mucosa is caused by infection with Candida albicans (mold). There are milky white spots on the mucous membrane or fused into a piece, which is quite like a milk block. The white film is covered on the mucous membrane of the mouth and is not easy to wipe off. At the beginning, it becomes a small piece, gradually merges into a large piece, which looks like milk. This fungus can sometimes be found in the mouth when the baby is malnourished or debilitated.

Cause

Thrush is a common disease in children's mouth. This disease is often caused by a white pseudomembrane in the mouth. Sometimes the pseudomembrane is white like a piece of snow. Therefore, Xuekou Xuekou disease is caused by Candida albicans. Candida albicans is one of many microorganisms. It usually occurs in infants with unclean oral malnutrition, and can also be found in frail adults. occur. Candida albicans is also commonly found in the mouths of healthy children but is not pathogenic.

The following conditions can cause infection:

1. Mother's vaginal mold infection The baby is infected through the birth canal at birth and by contact with the secretions of the mother.

2. The bottle nipple is not completely disinfected. When breastfeeding, the mother's teat is not clean and can be the source of infection.

3. Contact food clothing and toys infected with Candida. In addition, infants begin to have long teeth at 6 to 7 months. At this time, the gums may have a slight pain. The infants love to bite their fingers and bite the toys. This makes it easy to bring bacteria and mold into the cavity and cause infection.

4. In the kindergarten, there is a collective life that can sometimes cause thrush due to cross infection.

5. Long-term use of antibiotics or inappropriate application of hormone therapy, resulting in imbalance of flora in the body, molds take advantage of the virtual and multiply, causing thrush.

an examination

Related inspection

Oral endoscopic oral X-ray examination

Diagnosis is based on clinical manifestations.

1. The oral mucosa has a milky white high-level scalp film, and there is no inflammatory reaction around it. It is like a milk block without pain. After wiping off the plaque, the area of the red wound surface film that does not bleed underneath can be seen. It can appear in the tongue and cheeks. Or on the mucous membrane of the lips.

2. It occurs in the mucous membranes of the buccal tongue, soft palate and lips. White plaques are not easily rubbed off with cotton swabs or wet gauze.

3. When the infection is mild, unless the mouth is carefully examined, it is not easy to find, and there is no obvious pain or only a painful expression when eating. In severe cases, the baby will be restless due to pain, poor appetite, crying, difficulty in breastfeeding, and sometimes mild fever.

4. The damaged mucous membrane treatment can be spread to the pharynx, tonsils, gums and other more serious cases. The lesions can spread to the esophagus and bronchus, causing respiratory and dysphagia in candidiasis esophagitis or pulmonary candidiasis. A small number of chronic mucosal cutaneous candidiasis can affect lifelong immune function. Even other bacterial infections can occur, causing sepsis.

Differential diagnosis

Differential diagnosis of a plaque that resembles a milk block in the oral mucosa:

1, oral retention milk: although its shape is similar to thrush. But wipe with warm water or a cotton swab. You can move. Remove the milk pieces. The white debris of this disease is not easy to wipe off. If you wipe it hard. The mucosa beneath it is flushed. Rough.

2. White swelled plaque on the oral mucosa: plaque leukoplakia: white or grayish white homogeneous hard plaque on the oral mucosa, tight texture, varying shape and area, mild elevation or height Not flat. It is worth noting that there is no parallel relationship between the size of the lesion and the likelihood of cancer, and sometimes it is cancerous even if only the size of the rice is large. It is often difficult to distinguish the leukoplakia from the plaque lesions, but the former is harder. It is a clinical manifestation of oral leukoplakia.

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