Although a secondary infection with candidiasis was suspected, the initial diagnosis was highly suggestive of erosive oral lichen planus.

Oral swabs were obtained from the above-mentioned locations for microbiological

examinations which showed numerous pale yellowish dome-shaped colonies of C.

albicans when cultured in Chromagar® medium.

An initial prescription of antiseptic mouth wash (chlorhexidine, 0.12%) along with a topical antifungal agent (Fungizone®) 3 times a day for 2 weeks was made to treat the fungal infection. She was subjected to a complete hemogram, hepatitis B and C serology blood test, and Thyroid blood tests. After 2-week’s follow-up, the patient reported a slight improvement in symptoms (Figures 2A, 2B, 2C, and 2D).