What treatment is indicated for median rhomboid glossitis?

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Median rhomboid glossitis is a condition characterized by a smooth, red, rhomboid-shaped area on the dorsum of the tongue, typically caused by a fungal infection with Candida species. The correct treatment option involves the use of antifungal agents to address this underlying fungal infection. Nystatin is an antifungal medication that is specifically effective against Candida and is often used to treat oral thrush or other oral Candidiasis.

Using Nystatin directly targets the source of median rhomboid glossitis, as it helps to eliminate the fungal organisms that contribute to the inflammation and discomfort associated with this condition. Treatment usually involves the application of Nystatin in the form of an oral suspension or lozenges that dissolve in the mouth, allowing for localized treatment of the affected area.

Other treatment options, such as corticosteroids, chlorhexidine, or antibiotics, do not specifically address the fungal origin of median rhomboid glossitis. Corticosteroids may be used for inflammatory conditions, chlorhexidine is an antiseptic for oral hygiene, and antibiotics are effective against bacterial infections but do not possess antifungal properties. Therefore, these alternatives do not effectively treat the condition in question.

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