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Idiopathic macrocheilia
  1. Haren Pandya1,
  2. Hiren Dharmendrabhai Patel2,
  3. Jigar Mayankbhai Purani3,
  4. VIvek Ramesh Rayththa1
  1. 1Oral and Maxillofacial Surgery, Dharmsinh Desai University Faculty of Dental Science, Nadiad, Gujarat, India
  2. 2Oral and Maxillofacial Surgery, Faculty of Dental Science, Nadiad, Gujarat, India
  3. 3Oral Pathology, Faculty of Dental Science, Nadiad, Gujarat, India
  1. Correspondence to Dr Haren Pandya, drharenpandya{at}


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.

  • dentistry and oral medicine
  • dermatology
  • drugs and medicines
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