Nicotinic Stomatitis in a Child Associated with Improper Use of a Matchstick: A Rare Case Report

Abstract

Nicotinic stomatitis, also known as smoker’s palate, is a reactive lesion of the oral mucosa characterized by palatal keratosis and multiple erythematous punctate areas corresponding to the openings of minor salivary gland ducts. Although it is most commonly associated with chronic tobacco smoking and heat exposure, similar palatal changes may occur following other sources of repeated thermal irritation. This report focuses on a child who presented with palatal mucosal changes clinically suggestive of nicotinic stomatitis associated with the improper use of a matchstick. The history of the unusual habit and the clinical appearance of the lesion suggested repeated local thermal irritation as a possible contributing factor. Clinical examination and a detailed history were essential in evaluating the lesion and considering alternative diagnoses. Identification and avoidance of the suspected causative habit were recommended as important steps in management