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An exuberant case of uremic stomatitis in an older adult
Maria Fernanda Ponce1, Gerardo Gilligan2, Bruno Augusto Benevenuto de Andrade3
1Service of Oral Medicine, Instituto Odontológico Dr. Cayetano Torcivia, San Juan, Argentina.
Objective:
To report the case of an older adult with uremic stomatitis.
Background:
Uremic stomatitis is a rare condition, with only 57 cases documented in the literature. Gerodontologists may be unfamiliar with this condition.
Materials And Methods:
A 71-year-old male patient, undergoing oncological treatment and with chronic kidney disease (CKD), presented with an asymptomatic, exuberant tongue lesion which had persisted for 3 months. The lesion was characterised by a white-yellowish plaque with a rough, warty surface covering the entire dorsum and lateral borders of the tongue. Blood tests revealed relatively high urea (130 mg/dL) and creatinine (2.22 mg/dL) levels.
Results:
Clinical, biochemical and histopathological data were consistent with uremic stomatitis. The patient passed away shortly after diagnosis.
Conclusion:
This report documents the fifth case of uremic stomatitis in older adults in their 70s. Prompt diagnosis of this condition in individuals with CKD is critically important because it can alleviate symptoms, improve quality of life and extend survival.
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