Monday, November 11, 2019

Nicotinic stomatitis.. acanthosis with keratin



Nicotinic stomatitis:
1- acanthosis with keratin***
2- Prickle cell like shape bases.
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What is nicotinic stomatitis?
Nicotinic stomatitis, or smoker's palate, is the inflammation of the mucous membranes in the mouth. The combination of harmful chemicals in tobacco and intense heat irritates the mucous membranes. This causes the formation of sores on the roof of the mouth. Nicotinic stomatitis is more common in people who smoke pipes or who smoke inverted (inhale from the burning end of a cigarette).

What are the signs and symptoms of nicotinic stomatitis?
You may not know that you have nicotinic stomatitis. It can be found during a physical or dental routine exam. You may notice the sores but realize that they do not change or get worse for years. Nicotinic stomatitis begins as redness of the hard palate (roof) of the mouth that is darker than usual. Then thick white sores or patches begin to form with a red dot in the center. The small salivary glands in the roof of the mouth also swell. This may cause some discomfort.

How is nicotinic stomatitis diagnosed and treated?
Your doctor or dentist may know that you have nicotinic stomatitis by looking at the sores. Tell your doctor or dentist how much you smoke every day and for how many years you have smoked. He will need to know if you smoke invert or use a pipe. The treatment for nicotinic stomatitis is to quit smoking. The sores usually disappear after 2 weeks of not smoking. If they do not go away, your doctor can take a sample to examine, to detect other medical conditions.

How can I take care of myself?
- Do not smoke cigarettes or use nicotine products. Nicotine and tobacco products can also increase your risk for other conditions, such as heart and lung disease. Electronic cigarettes, chewing tobacco, powders and other similar products contain nicotine. Ask your doctor for information if you need help to quit smoking or use nicotine products.
- Do not drink hot liquids. Hot liquids can make nicotinic stomatitis worse. Let the liquids cool before taking them.
- Visit the dentist every 6 months to perform preventive care and cleaning.

When should I contact my doctor?
- You have new mouth sores or they get worse, or other symptoms appear.
- He has difficulty eating food and liquids because he has sores.
- You have questions or concerns about your condition or care.

AGREEMENTS ABOUT YOUR CARE:
You have the right to help plan your care. Learn all you can about your condition and how to treat it. Discuss your treatment options with your doctors to decide the care you want to receive. You always have the right to refuse treatment. This information is for educational use only. Its intention is not to give you medical advice about diseases or treatments. Consult with your doctor, nurse or pharmacist before following any medical regimen to know if it is safe and effective for you.