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Clotrimazole treatment of oral candidiasis in patients with neoplastic disease
Authors:Lee B. Shechtman  Laura Funaro  Thomas Robin  Edward J. Bottone  Janet Cuttner
Affiliation:New York, New York USA
Abstract:A double-blind controlled study was performed to evaluate the effectiveness of Clotrimazole in the treatment of oral candidiasis in patients with neoplastic disease. Six of seven patients who received clotrimazole had resolution of symptoms and signs of oral candidiasis. In five of six patients who received placebo, clinical progression of signs and symptoms occurred, esophagitis developed, and amphotericin B therapy had to be given. No toxicity was observed that could be attributed to clotrimazole. The results were statistically significant (p = 0.025 by Fisher's exact test). Clotrimazole is effective therapy for oral candidiasis in patients with neoplastic disease, and may prevent the development of esophagitis.
Keywords:Requests for reprints should be addressed to Dr. Janet Cuttner   Mount Sinai Medical Center   One Gustave L. Levy Place   New York   New York 10029.
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