Idiopathic macrocheilia

BMJ Case Rep. 2018 Sep 27:2018:bcr2018225682. doi: 10.1136/bcr-2018-225682.

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.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Anti-Inflammatory Agents / administration & dosage
  • Edema / etiology
  • Gingiva / pathology
  • Gingiva / surgery
  • Humans
  • Injections, Intralesional
  • Lip* / diagnostic imaging
  • Lip* / surgery
  • Male
  • Melkersson-Rosenthal Syndrome / complications
  • Melkersson-Rosenthal Syndrome / diagnosis*
  • Melkersson-Rosenthal Syndrome / therapy
  • Mouth Diseases / complications
  • Mouth Diseases / diagnosis*
  • Mouth Diseases / therapy*
  • Rare Diseases / complications
  • Rare Diseases / diagnosis*
  • Rare Diseases / therapy
  • Triamcinolone Acetonide / administration & dosage

Substances

  • Anti-Inflammatory Agents
  • Triamcinolone Acetonide