Sopi Krasniqi M, Sllamniku Dalipi Z, Kastrati Dragidella D, Kondirolli L. Treatment of Orofacial Granulomatosis-9-Month Follow-up: A Case Report.
CLINICAL MEDICINE INSIGHTS-CASE REPORTS 2023;
16:11795476231160046. [PMID:
36935761 PMCID:
PMC10017931 DOI:
10.1177/11795476231160046]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Accepted: 02/09/2023] [Indexed: 03/17/2023]
Abstract
Orofacial granulomatosis is a condition that manifests clinically as painless labial enlargement, perioral and mucosal edema, oral ulcers, and gingivitis. It is characterized by non-necrotizing granulomatous inflammation of the oral and maxillofacial region. When the swelling only affects the lips, the pathology is called Miescher's granulomatous cheilitis; however, when it also causes facial paresis and lingua plicata, it is known as Melkersson-Rosenthal syndrome. We report a case that was successfully treated with a combination of a local (intralesional) steroid, a systemic antibiotic, and a systemic steroid. After 6 months of therapy, we observed improvement in gingival hyperplasia and buccal mucosa and lip edema.
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