Grade I: a few raised white plaques up to 2 mm in size without edema or ulceration
Grade II: multiple raised white plaques greater than 2 mm in size without ulceration
Grade III: confluent, linear, and nodular elevated plaques
Grade IV: finding of grade III with increased friability of the mucous membranes and occasional narrowing of the lumen
Initial Management
•Δ of CE was made on the basis: candida white plaques in esophagus on endoscopy, cannot be washed away
•Δ +: Biopsy
–Histology: hematoxylin and eosin and periodic acid-Schiff staining
–Culture for candida species
•Others test: antibiotic use, radiation therapy or chemotherapy, hematologic malignancies, compromised immune system, malnutrition, inhaled corticosteroids
•Treatment: anti-fungal medicine, usually oral fluconazole
Endoscopy severity of Canadian esophagitis (CE) by Kodsi's, http:/www.researchgate.net
Clinical Practice Guideline for the Management of Candidiasis 2016 Updated by the Infectious Diseases Society of America
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