Variations of palatal erythema secondary to fellatio

Mucosal alterations in fellatio may appear as a submucosal hemorrhage which now exhibits a distinctive enough clinical picture that histologic examination is not needed. The occurrence in male subjects has not been stressed in the literature but must be a consideration when palatal hemorrhage is noted. Fellatio should also be considered in patients with palatal mucositis and Candida albicans should be definitely ruled out as the causative factor in these cases. Cytologic or histologic examination should be done and microscopic examination of the submitted tissue should be extensive to find organisms which may be present only in small numbers.