Clinical features:
(1) The patient has a history of regular use of a corticosteroid inhaler, usually for asthma.
(2) The patient develops laryngeal symptoms (hoarseness, variable pain, variable cough).
(3) Examination of the larynx shows a white plaque or pseudomembrane.
(4) Oral thrush may or may not be present.
(5) The patient may have other risk factors: diabetes, smoking, broad-spectrum antibiotics, neutropenia.
(6) A scraping of the lesion shows yeast and pseudohyphae.
(7) The lesion regresses if the steroid inhaler use is discontinued or if antifungal therapy is started.
Differential diagnosis:
(1) leukoplakia
(2) disseminated Candidiasis
(3) adductor cord paralysis
