BMJ Case Reports 2018; doi:10.1136/bcr-2017-221901
  • Reminder of important clinical lesson

Fellatio-associated erythema of the soft palate: an incidental finding during a routine dental evaluation

  1. Manolo Rubio2
  1. 1 School of Dentistry, Universidad de Montemorelos, Montemorelos, Nuevo Leon, Mexico
  2. 2 Department of Medicine, Albert Einstein Medical Center, Philadelphia, Pennsylvania, USA
  1. Correspondence to Dr Luis Alberto Mendez, luismendez{at}
  • Accepted 26 May 2018
  • Published 11 June 2018


Oral lesions can have widely variable aetiology, hence, the importance of a comprehensive history and oral examination. We describe the case of a 47-year-old man who presented with an incidental erythematous lesion of the soft palate. The diagnosis was established during a routine dental examination. We found the lesion to be associated with the practice of fellatio. Oral sex is a very common sexual practice, and as clinicians we should consider it as a potential cause of palatal lesions in our differential diagnosis. This should also raise our suspicion for sexually transmitted diseases in high-risk patients.


  • Contributors LAM wrote the manuscript. RM has performed medical history and has taken consent from the patient providing valuable inputs regarding the case. MR helped in revision and editing the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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