Diagnosis and management of a severe uremic stomatitis: Case report of multiple clinical features

Uremic stomatitis is an underreported disease that occurs in the oral mucosa, associated with high levels of blood urea in patients with chronic kidney disease. This case report describes a 36-year-old male patient with severe and multiple oral manifestations of uremic disease. Intraoral examination revealed ulceration, atrophic and hemorrhagic areas were seen on the ventral surface of the tongue, floor of the mouth, and buccal mucosa. The treatment included hemodialysis, analgesics, and mouthwashes. After 10 days of treatment and seven hemodialysis sessions, the oral lesions were significantly better. Considering that the manifestations presented are commonly painful and debilitating for the patient early diagnosis and a treatment that comprises oral measures and kidney disease control are mandatory.