engleski

Idiopathic Orofacial Granulomatosis-Diagnostic Dillemas-Case Report

We report a case of 67 years old women who presented to our Department with indurated lower lip swelling. First histopathological diagnosis was highly suggestive of sarcoidosis and she was sent to do chest X ray and angiotenzyne serum converting enzyme (both finding being negative as was M. Tuberculosis testing). The second biopsy was consistent with diagnosis of granulomatous cheilitis. Patient was treated with intralesional injections (triamcinolone acetonide, 8 mg per visit divided into equal parts and injected in four parts of the lower lip) once a week during period of four weeks and afterwards lesion subsided.

orofacial ; granulomatosis ; diagnosis

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