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What characterizes oral candidiasis in infants?

  1. Red sores with yellow pus

  2. White plaques that can be easily wiped away

  3. White plaques difficult to wipe away with an erythematous base

  4. Blisters filled with clear fluid

The correct answer is: White plaques difficult to wipe away with an erythematous base

Oral candidiasis, also known as thrush, is characterized by the presence of white plaques on the oral mucosa. These plaques are often described as being adherent, meaning they do not easily wipe away without leaving a residual erythematous base underneath. In infants, this condition is quite common and typically manifests as these white patches that can be found on the tongue, gums, and inner cheeks. The difficulty in wiping away the plaques is a distinct feature of oral candidiasis, which distinguishes it from other oral conditions that may present with white lesions. In contrast, other symptoms like red sores with yellow pus are more indicative of bacterial infections or different conditions, while blisters filled with clear fluid do not align with the presentation of oral candidiasis. These distinctions help in making an accurate diagnosis, guiding proper management and treatment. Thus, the combination of white plaques that resist removal and the presence of an inflamed base is characteristic of oral candidiasis in infants.