Bronchial geotrichosis does not involve the lung instead the disease persists within the bronchial. Geotrichum candidum grows in the lumen of the bronchi. The disease is characterized as an endobronchial infection. Bronchial geotrichosis is similar to the allergic reaction of aspergillosis. Symptoms include prominent chronic cough, gelatinous sputum, lack of fever and medium to coarse rales. Patients with the bronchial condition their pulse and respiration are rarely elevated. Fine mottling may be present in the middle or basilar pulmonary region. Colonization of the bronchi can be associated with Candida albicans and usually occur with patients with chronic obstructive lung disease. Oral and vaginal geotrichosis is similar to thrush in its appearances and was often confused with this infection. The difference between oral and vaginal geotrichosis can be determined using microscope analysis. The infected area forms a white plaque and patients usually report burning sensation in the affected areas. The vaginal geotrichosis is more common in pregnant women and is often associated with vaginitis. Gastrointestinal geotrichosis is enterocolitis associated with glutamic therapy. The symptoms usually stop once the glutamic therapy is discontinued. Establishment of the etiology of the fungi is difficult since G. candidum is found within the gut normal flora. The difference between normal gut flora form and the disease causing form is the production of toxins. Cutaneous geotrichosis has two different types of variants which include superficial and deep infection. The superficial form the infection occurs on skin folds including submammary, inguinal, perianal and interdigital folds.
They are said to have what is known as Hyperdivergent Growth Pattern which includes characteristics such as:
Increased Lower Anterior Facial Height
Occlusal plane diverges after the 1st molar contact
May accompany dental open bite
Narrow nostrils with upturned nose
Dolicofacial or Leptoprosopic face pattern
Constricted maxillary arch
Bilateral Posterior Crossbite
High and narrow palatal vault
Presence of crowding in teeth
Mentalis muscle strain upon forcibly closing of lips
Possible gummy smile with increased interlabial gapCephalometric analysis features of skeletal open bite may include:
Increased Frankfurt-Mandibular Plane angle
Steep Occlusal Plane Angle
Increased SN-MP Angle
Short Mandibular ramus
Increased mandibular body length
Downward and backward position of mandible
Increased gonial angle
Proclined upper incisors, retroclined or upright lower incisors
Posterior part of maxilla is tipped downwards
Posterior facial height equals 1/2 of anterior facial height
Increased hard tissue Lower Anterior Facial Height
Increased total anterior facial height
Short mandibular ramusViken Sassouni developed Sassouni analysis which indicates that patients with long face syndrome have 4 of their bony planes (mandibular plane, occlusal plane, palatal plane, SN plane) steep to each other. Dental open bite
Dental open bite occurs in patients where the anterior teeth fail to touch. However, this is not accompanied by the skeletal tendency of having an open bite. Thus this type of open bite may happen in patients who have horizontal or hypodivergent growth pattern. These patients have normal jaw growth and do not have the long face syndrome. The anterior open bite in these patients may be caused by Macroglossia, Tongue thrusting habit or digit sucking habits.