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VOLUME 16 , ISSUE 1 ( January-June, 2024 ) > List of Articles

CASE REPORT

Orofacial Granulomatosis and Its Management in an Adolescent: A Case Report

Shubham Sareen, Ekram Haque, Jaiti Uppal

Keywords : Case report, Idiopathic lip edema, Intralesional steroids, Melkersson–Rosenthal syndrome, Orofacial granulomatosis

Citation Information : Sareen S, Haque E, Uppal J. Orofacial Granulomatosis and Its Management in an Adolescent: A Case Report. CODS J Dent 2024; 16 (1):28-32.

DOI: 10.5005/jp-journals-10063-0158

License: CC BY-NC 4.0

Published Online: 20-02-2025

Copyright Statement:  Copyright © 2024; The Author(s).


Abstract

Orofacial granulomatosis (OFG) clinically presents as a painless labial, perioral, and gingival enlargement and might be accompanied by ulcerations of the oral cavity and gingivitis. The histopathological features involve noncaseating granulomatous inflammation. When the swelling only affects the lips, the pathology is called Miescher's granulomatous cheilitis; however, when it also causes facial paresis and lingua plicata, it is known as Melkersson–Rosenthal syndrome (MRS). In this case report, we successfully diagnosed and treated gingival enlargement and lip swelling in a patient with a combination of a local (intralesional) steroid and gingivectomy procedure. After 6 months of therapy, we observed improvement in gingival enlargement and lip edema.


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