Treatment and follow‐up of persistent granulomatous cheilitis with intralesional steroid and metronidazole

Autor: Yunus Saral, Demet Cicek, Nusret Akpolat, Başak Kandi Coşkun
Rok vydání: 2004
Předmět:
Zdroj: Journal of Dermatological Treatment. 15:333-335
ISSN: 1471-1753
0954-6634
DOI: 10.1080/09546630410015538
Popis: Granulomatous cheilitis (GC) is a chronic edema which frequently affects the upper lip due to granulomatous inflammation. Its etiology is currently unknown. This rare disease is generally accompanied by Melkersson-Rosenthal syndrome (MRS), characterized by scrotal tongue, orofacial edema and facial paralysis. However, it is also known to develop only with orofacial edema. Granulomatous cheilitis is a difficult disease to treat because of recurrences. There are contradictory reports about the results of treatment without surgical intervention and the rates of recurrence. Our case was a 57-year-old female patient who was characterized by orofacial edema only. The edema and erythema had persisted for 1 year before admission. In the present case, application of intralesional corticosteroid treatment as a total of three injections over 3 consecutive months (one injection per month) and the accompanying metronidazole treatment brought about successful results. No recurrence was observed in the follow-up.
Databáze: OpenAIRE