01528nas a2200241 4500000000100000008004100001653001200042653001000054653002800064653002300092100001000115700001200125700001100137700002000148700001000168700001500178245007800193856005100271300001200322490000700334050001300341520093200354 2013 d10aleprosy10aIndia10aCheilitis granulomatosa10aBorderline leprosy1 aRao R1 aKaur GJ1 aRao AC1 aChandrashekar B1 aRao L1 aHandattu S00aBorderline leprosy masquerading as cheilitis granulomatosa: A case report uhttps://leprosyreview.org/article/84/1/09-5099 a95–990 v84 aRAO 20133 a

Chronic macrocheilia, which can be arbitrarily defined as persistent enlargement of one or both lips for more than 8 weeks, has varied aetiology, but granulomatous conditions, both infective and non-infective, comprise a significant proportion of these patients.1 Cheilitis granulomatosa (CG) is probably the most common diagnosis entertained in such cases. Another diagnosis that is commonly entertained in these groups of patients is orofacial granulomatosis (OFG). Infective granulomatous conditions such as tuberculosis and leishmaniasis can rarely present with swelling of one or both lips.2,3 Leprosy, a chronic infectious disease caused by an acid-fast bacillus, Mycobacterium leprae, with a peculiar tropism to the skin, peripheral nerves and certain mucous membranes may occasionally present with chronic macrocheilia.4 Here, we report an unusual presentation of borderline leprosy with abnormal lip swelling.