Nicotine stomatitis

Other Names: (Stomatitis Nicotine Palatinus, Smoker’s Palate) This lesion is a reactive hyperplasia to the heat generated by the tobacco smoke that acts as a chronic irritating agent. These mucosal changes are mostly seen in reverse cigarette/chutta and pipe smokers and relatively lesser in cigar, cigarette and beedi smokers.

Clinical features

Smoker’s palate is usually seen in males. It is generally asymptomatic. The palatal mucosa appears as a diffuse grayish white surface or flat topped nodules may be seen with red pinpoint areas situated in the center of each nodule. These red pinpoint areas correspond to the inflamed orifice of the minor salivary gland ducts.

Differential diagnosis

• Palatal papillary hyperplasia
• Focal epithelial hyperplasia (Heck’s disease)
• Darier’s disease (follicular keratosis)

Resources

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‎ Source: Data courtesy of the U.S. National Library of Medicine. Since the data might have changed, please query MeSH on Nicotine stomatitis for any updates.

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