Sasaki Ryosuke, Suzuki Kayoko, Hayashi Teppei, Inasaka Hiroshi, Matsunaga Kayoko
Department of Dermatology, Fujita Health University School of Medicine, Toyoake.
Case Rep Dermatol. 2011 May;3(2):151-4. doi: 10.1159/000330731. Epub 2011 Aug 9.
A 38-year-old male suffered from swelling of the lower lip for 3 months. Neither facial nerve palsy nor fissuring of the tongue was present. Histological examination of a biopsy taken from the lower lip revealed non-caseous epithelioid cell granulomas, suggestive of cheilitis granulomatosa. Patch testing revealed positive reactions to mercury chloride and amalgam. His symptoms markedly improved 3 months after treatment of the apical periodontitis and replacement of dental crowns. As his dental crowns did not contain mercury, we believe that the cheilitis granulomatosa may have been related to the focal dental infection.
一名38岁男性下唇肿胀3个月。既没有面神经麻痹，也没有舌裂。下唇活检的组织学检查显示非干酪样上皮样细胞肉芽肿，提示肉芽肿性唇炎。斑贴试验显示对氯化汞和汞合金呈阳性反应。在根尖周炎治疗和更换牙冠3个月后，他的症状明显改善。由于他的牙冠不含汞，我们认为肉芽肿性唇炎可能与局部牙齿感染有关。
