Case report, case study
https://doi.org/10.3325/cmj.2021.62.518
Necrotic ulcerative stomatitis in a patient with long-standing celiac disease: a case report
Marijan Kovačić
orcid.org/0000-0003-0860-6923
; Department of Otorhinolaryngology, Zadar General Hospital, Zadar, Croatia
Ivan Kovačić
; Department of Surgery, Zadar General Hospital, Zadar, Croatia
Matea Veršić
Abstract
Celiac disease is the most common chronic gastroenterological disease. One of the extraintestinal manifestations of
this multifaceted disease are changes in the oral mucosa.
However, ulceration leading to the destruction of the soft
and hard tissues of the orofacial region has not been reported so far. We report on the development of necrotizing ulcerative stomatitis in a 41-year-old woman with celiac disease. The initial ulcerative lesion was located in the
lower lip mucosa. Necrosis of all layers of the left side of
the lip and oral commissure progressed very quickly. The
resulting defect required plastic reconstructive surgery.
We successfully compensated for the defect by applying a
combination of two flaps from the remaining tissue of the
lower lip. Oral competence was established immediately
after the operation, and a very good esthetic appearance
two months later.
Keywords
Hrčak ID:
278800
URI
Publication date:
21.10.2021.
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