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Smoker's palateAka: Stomatitis nicotina, Nicotinic Stomatitis

Epidemiology
1. Visible only in Tobacco smokers
2. More common in pipe smokers and cigar smokers
Pathophysiology
1. Inflamed, highlighted ducts of Salivary Glands
2. Palatal submucosa rich in minor Salivary Glands
Signs
1. Diffuse white mucosal thickening on Hard Palate
  1. Pinpoint reddish Papules on this white background
Evaluation
1. Benign lesions, but predicts other Oral Tumors
2. Only needs biopsy if on Soft Palate
References
1. Kleinegger in Rakel (2002) Current Therapy, p. 830

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.