16th February 2025

A 56-year-old lady is in hospital having had an orthotopic liver transplant ten days previously for alcoholic cirrhosis.

A 56-year-old lady is in hospital having had an orthotopic liver transplant ten days previously for alcoholic cirrhosis. Her recovery has so far been uncomplicated and she is nearing discharge. She is taking tacrolimus.

She complains of a painful tongue, loss of sense of taste and painful swallowing.

On examination, she has white plaques on the tongue, buccal mucosa and oropharynx.

What is the most appropriate management step?

Select the SINGLE most appropriate option from the list below. Select ONE option only.