A patient with chronic renal failure may develop a stomatitis. The frequency has decreased since dialysis has become available.
Clinical findings may include:
(1) painful plaques and crusts (hyperkeratosis)
(2) ulcerations
(3) pseudomembranous, which may resemble oral hairy leukoplakia
(4) hemorrhagic lesions
The mucosal changes can be seen on the gingiva, lips and floor of mouth in addition to the tongue.
The patient may complain of altered taste.
The stomatitis is associated with severe uremia (>= 20 mmol/L) and improves after dialysis.
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Specialty: Otolaryngology
