[
    {
        "id": "osp-2580",
        "type": "article-journal",
        "title": "White Patch on Voice Box",
        "author": [
            {
                "family": "Saniasiaya",
                "given": "Jeyasakthy"
            }
        ],
        "URL": "https://omanscience.com/en/articles/white-patch-on-voice-box",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2023
                ]
            ]
        },
        "container-title": "Oman Medical Journal",
        "DOI": "10.5001/omj.2023.18",
        "publisher": "Oman Medical Specialty Board",
        "ISSN": "1999-768X",
        "abstract": "A 68-year-old man with an underlying chronic obstructive pulmonary disease on a steroid inhaler presented with a one-month history of dysphonia. There was no dysphagia, odynophagia, neck swelling, or constitutional symptoms. There was also no choking, effortful speech, or shortness of breath. On examination, the patient appeared comfortable in the room air. Endoscopic laryngeal examination revealed whitish patches over the bilateral vocal cord with intact mobility. Direct laryngoscopy and biopsy of the whitish lesion performed under general anesthesia revealed laryngeal thrush or candidiasis. The occurrence of laryngeal thrush was identified to be secondary to the steroid inhaler the patient was using. Therefore, the inhaler was withheld and the patient was prescribed daily oral fluconazole for two weeks. At one month follow-up, the hoarseness and vocal cord lesion had improved."
    }
]