01303nas a2200193   4500000000100000008004100001653003000042653001900072100001300091700001300104700001300117700001500130245005700145856005800202300001400260490000600274520081500280022001401095       2015                            d10aOro-facial granulomatosis10aOral swellings1 aGogri AA1 aKadam SG1 aUmarji H1 aTupkari JV00aLeprous macrocheilia : A rare clinical presentation.  uhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4632239/   a285 - 2880 v63 a<p>Editor's Abstract:</p>

<p>Oral leprosy, a granulomatous disease is classified under the term oro-facial granulomatosis which comprises a group of diseases characterized by noncaseating granulomas affecting the soft tissues of the oral and maxillofacial region. The most common clinical presentation of oro-facial granulomatous conditions is persistent swelling of one or both lips. Due to its rare incidence and clinical findings overlapping with other granulomatous conditions such as sarcoidosis, Crohn's disease, and cheilitis granulomatosa; it is practically difficult for a dental surgeon to easily diagnose this condition. This study presents a case of leprosy causing macrocheilia as the only clinical presentation and diagnosed initially as Miescher's cheilitis based on exclusion criteria.</p>
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