Contact Stomatitis and Lithium Carbonate Tablets

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Abstract
To the Editor.— Contact stomatitis has been associated with a wide variety of metals, whether these metals are used in dental fillings and prostheses or as therapeutic agents. The metals known to produce a stomatitis include gold, mercury, bismuth, chromium, nickel, copper, and zinc.1,2In fact, contact stomatitis has been reported in up to 7.5% of patients treated with gold.3 Report of a Case.— A 36-year-old man with a 12-year history of schizo-affective schizophrenia recently complained of a sore mouth and severe burning when attempting to eat warm food or drink warm liquids. During the past four years the patient had been taking therapeutic doses of both chlorpromazine and lithium carbonate. There had been no previous history of any inflammation of the oral mucosa. When these symptoms developed, the tongue and buccal mucosa appeared to have a bright red erythema associated with several scattered erosions of the mucosa.

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