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CASE REPORT
Year : 2017  |  Volume : 37  |  Issue : 2  |  Page : 85-88

Granulomatous cheilitis involving the lower lip


Department of Dermatology & Venereology, Pramukshwami Medical College, Karamsad, Gujarat, India

Correspondence Address:
Pragya A Nair
Department of Dermatology & Venereology, Pramukshwami Medical College, Karamsad, Gujarat 388325
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ejdv.ejdv_8_17

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Granulomatous lesions of the oral and oropharyngeal submucosal tissues refer to painless, idiopathic swelling frequently affecting the buccal and labial areas. They present a diagnostic dilemma because of the wide variety of possible etiologic factors. Granulomatous cheilitis should be considered in the differential diagnosis of persistent lip swelling. It can occur in isolation as a monosymtomatic form or as a part of Melkersson–Rosenthal syndrome, which is a triad of recurrent orofacial swelling, relapsing facial paralysis, and fissuring of the tongue (lingua plicata). Spontaneous remission is rare, and recurrences are common. Corticosteroids used for treatment provide temporary improvement. A combination of intralesional triamcinolone and clofazimine or dapsone is one of the most commonly used treatment options. We present the case of a 21-year-old young man with granulomatous cheilitis who responded to intralesional steroids and dapsone.


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