Journal of Indonesian Dental Association
Vol. 9 No. 1 (2026): April

A Uremic Stomatitis in Patient with Chronic Kidney Disease on Hemodialysis at RSUD Prof. Dr. Margono Soekarjo

Evi Triviana Sufyaning Rahayu (Faculty of Dentistry, Universitas Jenderal Sudirman, Purwokerto, Indonesia)
FERINA AYU MAHARANI HAIBAR (Universitas Jenderal Soedirman)
Twasi Anilamaba (Faculty of Dentistry, Universitas Jenderal Sudirman, Purwokerto, Indonesia)
Rinawati Satrio (Department of Dentistry, Faculty of Medicine, Universitas Jenderal Sudirman, Purwokerto)
Wahyu Djatmiko (Department of Internal Medicine, Faculty of Medicine, Universitas Jenderal Sudirman, Purwokerto)



Article Info

Publish Date
30 Jun 2026

Abstract

Introduction: Chronic Kidney Disease (CKD) is a condition of slow and irreversible decline in kidney function, leading to the accumulation of metabolic waste products such as urea and creatinine. The buildup of these toxins can trigger systemic manifestations, including oral lesions such as uremic stomatitis. Although often overlooked, these oral manifestations can reduce patients’ quality of life and nutritional status due to pain during eating. Case Report: A 63-year-old female patient diagnosed with Chronic Kidney Disease (CKD) was admitted to Prof. Dr. Margono Soekarjo Regional General Hospital. Laboratory tests revealed elevated levels of urea, creatinine, and potassium, as well as decreased hemoglobin and hematocrit, indicating the presence of anemia and hyperkalemia. An intraoral examination revealed an ulcerative lesion on the right lateral aspect of the tongue with a grayish-white base and a purplish hemorrhagic lesion on the base of the tongue, accompanied by pain during eating. The diagnosis was established as uremic stomatitis based on subjective and objective examinations, as well as a complete blood count. Management included systemic therapy and oral care using 0.2% chlorhexidine gluconate and Candistatin drops. Conclusion: Chronic kidney disease can trigger the appearance of uremic stomatitis in the oral cavity. Therefore, clinical examination of the oral cavity is essential for the early identification of systemic disorders while supportive management and oral hygiene education can help prevent complications and improve the comfort and quality of life of CKD patients.

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Journal Info

Abbrev

jida

Publisher

Subject

Dentistry

Description

The first edition of JIDA will be launched by Indonesian Dental Association (PBPDGI) on October 2018. JIDA, a biannually published scientific journal, is an open access, peer-reviewed journal that supports all topics in Oral and Dental Sciences, including to Biochemistry, Conservative ...