Oral candidiasis is an infection in oral cavity caused by Candida albicans. This disease is frequently caused by immunological suppression, which can be local or systemic, caused by immunosuppression due to extremes of age (newborns and the elderly), diseases that impair immunity, such as in infection of human immunodeficiency virus (HIV) or Acquired Immunodeficiency Syndrome (AIDS), long-term systemic steroid use, and long-term systemic antibiotic use. Oral candidiasis could lead to low-intake condition due to swallowing difficulties. This case report aimed to present a patient with severe dehydration due to oral candidiasis that needs to be hospitalized.
Background Psoriasis is a chronic inflammatory skin disease with a strong genetic predisposition and autoimmune pathogenic traits. Psoriasis vulgaris is also called plaque-type psoriasis, and is the most prevalent type. Psoriasis vulgaris is chronic inflammatory disease and characterized by periods of attack and remission. The chronicity of psoriasis vulgaris can affect patient’s quality of life. Case presentation A 33-year-old male came to Unggul Karsa Medika Hospital’s outpatient department with itchy, scaly, red plaques all over his body except his palms, soles, and face. The patient went to the dermatologist because his symptoms were getting worse and worse. Dermatologic examination concludes the lesions as multiple, generalized, discrete, circumscriptive, elevated, dry, regular-discoid erythematous plaques with psoriasiform scales located at the patient’s head, ears, nape, back, chest, belly, both arms and legs. Conclusion The diagnosis of psoriasis vulgaris was made based on history and clinical symptoms, supported by histopathological results. Treatment optimization and transitioning for moderate-to-severe plaque psoriasis include methotrexate or cyclosporine, along with topical therapy and supportive therapy.
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