An exuberant case of uremic stomatitis in an older adult

IF 2 3区医学 Q2 DENTISTRY, ORAL SURGERY & MEDICINE

Gerodontology Pub Date : 2025-02-28 DOI:10.1111/ger.12791

Maria Fernanda Ponce, Gerardo Gilligan, Bruno Augusto Benevenuto de Andrade, José Alcides Almeida de Arruda

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Abstract

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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老年人尿毒症性口炎一例

目的报告一例患有尿毒症口腔炎的老年人。背景尿毒症口腔炎是一种罕见病，文献中仅记载了 57 例。老年牙科医生可能不熟悉这种疾病。材料与方法一位 71 岁的男性患者正在接受肿瘤治疗，并患有慢性肾脏病（CKD）。病变的特征是白黄色斑块，表面粗糙，呈疣状，覆盖整个舌背和舌侧缘。血液化验显示尿素（130 毫克/分升）和肌酐（2.22 毫克/分升）水平相对较高。结果临床、生化和组织病理学数据与尿毒症口腔炎一致。患者在确诊后不久去世。结论本报告记录了第五例 70 多岁老年人尿毒症性口腔炎病例。对于患有慢性肾脏病的患者来说，及时诊断这种疾病至关重要，因为它可以减轻症状、改善生活质量并延长生存期。

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来源期刊

Gerodontology 医学-老年医学

CiteScore

4.10

自引率

10.00%

发文量

审稿时长

3-6 weeks

期刊介绍： The ultimate aim of Gerodontology is to improve the quality of life and oral health of older people. The boundaries of most conventional dental specialties must be repeatedly crossed to provide optimal dental care for older people. In addition, management of other health problems impacts on dental care and clinicians need knowledge in these numerous overlapping areas. Bringing together these diverse topics within one journal serves clinicians who are seeking to read and to publish papers across a broad spectrum of specialties. This journal provides the juxtaposition of papers from traditional specialties but which share this patient-centred interest, providing a synergy that serves progress in the subject of gerodontology.