Orofacial Granulomatosis Masquerading as Borderline Tuberculoid Leprosy – A Rare Case Report

Orofacial granulomatous disease is characterized by non-necrotizing granulomatous inflammation of the oral and maxillofacial region. Clinical findings include labial inflammation, perioral and mucosal inflammation, mouth ulcers, and gingivitis. Leprosy is a chronic, granulomatous, and multisystem disease and the involvement of lips is an extremely rare entity that can be mistaken for a variety of other granulomatous conditions. Hence, histopathological examination is necessary in such a case scenario to overcome the challenges that a professional has to face. Herein, we report a patient who presented with chronic asymptomatic swelling of the left cheek and upper lip which was later histopathologically confirmed to be a case of orofacial granulomatosis.