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.
BT - Leprosy review C1 -http://www.ncbi.nlm.nih.gov/pubmed/23741887
CN - RAO 2013 IS - 1 J2 - Lepr Rev. LA - eng N2 -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.
PY - 2013 EP - 95–99 T2 - Leprosy review TI - Borderline leprosy masquerading as cheilitis granulomatosa: A case report UR - https://leprosyreview.org/article/84/1/09-5099 VL - 84 ER -