Abstract
Celiac disease is an autoimmune disorder that affects individuals who are genetically susceptible and intolerable to gluten. It is characterized by symptoms such as chronic diarrhea, vomiting, abdominal distension, and bloating. Oral manifestations are also present in celiac patients, with defects in dental enamel and recurrent aphthous stomatitis. In the present study, we report a case of a 59-year-old male celiac patient that presented ulcerative oral lesions after dental treatment and inadequate diet. On physical examination, there were shallow ulcers, with a necrotic fundus in buccal mucosa and tongue border. The diagnosis of celiac disease was performed by intestinal biopsy that revealed serration and atrophy of the duodenal villi and intraepithelial lymphocytic infiltrate. Laboratory tests were requested to rule out vitamin deficiency. Topical treatment with chamomile (Ad-muc), photobiomodulation therapy and diet adequacy were decisive for ulcerated lesions healing. Patient remains in clinical follow-up.
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