{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T11:56:17Z","timestamp":1792410977358,"version":"4.4.0"},"reference-count":26,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,8,21]],"date-time":"2025-08-21T00:00:00Z","timestamp":1755734400000},"content-version":"vor","delay-in-days":51,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Necrotizing sialometaplasia (NS) is a rare inflammatory condition. Despite rare, chronic self\u2010induced vomiting in patients with eating disorders has been reported as a risk factor. This study aims to report a case of NS in a patient with bulimia nervosa and review the literature. A 25\u2010year\u2010old woman presented with a crateriform painful ulcer, affecting the palatal mucosa, measuring 3\u00a0cm in its largest extension. The main diagnosis hypothesis was NS. On the third visit, the patient mentioned suffering bulimia with episodes of self\u2010induced vomiting. Consequently, the diagnosis was NS associated to bulimia was performed. Ulcer regression was observed after 4\u00a0weeks without any specific treatment. A literature search was performed in MEDLINE\/PubMed, Scopus, and Embase and resulted in 12 case reports of NS in patients with eating disorders. Including our case, 12 out of 13 patients were women with a mean age of 23\u00a0years. This case reinforces the association between NS and eating disorders, particularly bulimia nervosa. Its accurate diagnosis is crucial to avoid misinterpretation as malignancy, thereby preventing unnecessary invasive interventions.<\/jats:p>","DOI":"10.1111\/scd.70087","type":"journal-article","created":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T06:00:03Z","timestamp":1755842403000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Palatal Nodule in Bulimia Patient: An Early Sign of Necrotizing Sialometaplasia"],"prefix":"10.1111","volume":"45","author":[{"given":"Maria Em\u00edlia","family":"Mota","sequence":"first","affiliation":[{"name":"Department of Stomatology School of Dentistry University of S\u00e3o Paulo (USP)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saygo","family":"Tomo","sequence":"additional","affiliation":[{"name":"Department of Stomatology School of Dentistry University of S\u00e3o Paulo (USP)  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Stella","family":"Moreira","sequence":"additional","affiliation":[{"name":"Department of Stomatology School of Dentistry University of S\u00e3o Paulo (USP)  S\u00e3o Paulo SP Brazil"},{"name":"Department of Stomatology A.C. Camargo Cancer Center  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Villa","sequence":"additional","affiliation":[{"name":"Miami Cancer Institute Baptist Health South Florida Herbert Wertheim College of Medicine Florida International University  Miami USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3372-1536","authenticated-orcid":false,"given":"F\u00e1bio Abreu","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Stomatology School of Dentistry University of S\u00e3o Paulo (USP)  S\u00e3o Paulo SP Brazil"},{"name":"Department of Stomatology A.C. Camargo Cancer Center  S\u00e3o Paulo SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,21]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.33122"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.oraloncology.2021.105349"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070\u2010023\u201003609\u20104"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s121065\u2010021\u201001402\u20109"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0901\u20105027(98)80039\u20108"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijom.2004.02.002"},{"key":"e_1_2_9_8_1","first-page":"304","article-title":"Necrotizing Sialometaplasia: Report of Five Cases","volume":"9","author":"Femopase F. 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