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BMJ Case Rep. 2018 Sep 27;2018. pii: bcr-2018-225682. doi: 10.1136/bcr-2018-225682.

Idiopathic macrocheilia.

Author information

1
Oral and Maxillofacial Surgery, Dharmsinh Desai University Faculty of Dental Science, Nadiad, Gujarat, India.
2
Oral and Maxillofacial Surgery, Faculty of Dental Science, Nadiad, Gujarat, India.
3
Oral Pathology, Faculty of Dental Science, Nadiad, Gujarat, India.

Abstract

A 13-year-boy presented with painless swelling of upper and lower lips accompanied with gingival enlargement. The aetiology for these symptoms included vast pathological varieties but none of them could fit in. Clinical features were similar to orofacial graulomatosis but histopathological examination revealed chronic non-specific infection. Therefore, the final diagnosis was made as idiopathic macrocheilia through exclusion criteria. Management with intralesional triamcinolone acetonide 40 mg, twice a week for 3 weeks, resulted in significant remission in lip swelling without recurrence after a 6-month follow-up.

KEYWORDS:

dentistry and oral medicine; dermatology; drugs and medicines

PMID:
30262529
DOI:
10.1136/bcr-2018-225682
[Indexed for MEDLINE]

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