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米舍尔肉芽肿性唇炎:一种罕见的疾病。

Granulomatous cheilitis of Miescher: a rare entity.

机构信息

Department of Pathology & Lab Medicine, AIIMS, Kalyani, India.

Department of Dermatology, AIIMS, Mangalagiri, India.

出版信息

BMC Womens Health. 2023 Mar 21;23(1):118. doi: 10.1186/s12905-023-02280-9.

DOI:10.1186/s12905-023-02280-9
PMID:36944970
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10031989/
Abstract

BACKGROUND

Granulomatous cheilitis (GC) is a rare entity of unknown etiology. It is a chronic inflammatory disorder with a predilection for young females. It is characterized by asymptomatic unrelenting swelling of lips. It is a monosymptomatic form or an incomplete variant of Melkersson-Rosenthal syndrome (a triad of recurrent orofacial swelling, relapsing facial paralysis, and fissuring of the tongue).

CASE PRESENTATION

We herewith report a case of a 27-year-old female, presenting with persistent upper lip swelling, for 3 months. Biopsy from the lesion revealed features of granulomatous cheilitis.

CONCLUSION

GC should be considered in the differential diagnosis of unrelenting swelling in the lip. Spontaneous remission is rare, and recurrences are common. Corticosteroids used for treatment provide temporary improvement.

摘要

背景

肉芽肿性唇炎(GC)是一种病因不明的罕见疾病。它是一种慢性炎症性疾病,好发于年轻女性。其特征是无症状的持续唇部肿胀。它是梅克尔逊-罗森塔尔综合征(复发性口腔肿胀、复发性面瘫和舌裂三联征)的一种单症状形式或不完整变异。

病例介绍

我们在此报告一例 27 岁女性,持续性上唇肿胀 3 个月。病变活检显示肉芽肿性唇炎的特征。

结论

GC 应在唇部持续性肿胀的鉴别诊断中考虑。自发缓解罕见,复发常见。皮质类固醇用于治疗可提供暂时改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/c62ac6ac78e8/12905_2023_2280_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/bf9101a11806/12905_2023_2280_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/05a675c1bfaf/12905_2023_2280_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/c62ac6ac78e8/12905_2023_2280_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/bf9101a11806/12905_2023_2280_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/05a675c1bfaf/12905_2023_2280_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d97/10031989/c62ac6ac78e8/12905_2023_2280_Fig3_HTML.jpg

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本文引用的文献

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Vaginal tuberculosis as differential diagnosis of cancer: A case report.阴道结核作为癌症的鉴别诊断:一例报告。
IDCases. 2020 Jul 25;21:e00924. doi: 10.1016/j.idcr.2020.e00924. eCollection 2020.
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Metronidazole as a monotherapy in the management of granulomatous cheilitis.甲硝唑作为肉芽肿性唇炎治疗的单一疗法。
Indian J Dermatol Venereol Leprol. 2018 Jul-Aug;84(4):491-495. doi: 10.4103/ijdvl.IJDVL_1169_16.
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Cheilitis granulomatosa.肉芽肿性唇炎
Indian Dermatol Online J. 2016 Nov-Dec;7(6):561-562. doi: 10.4103/2229-5178.193914.
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Cheilitis granulomatosa: a review.肉芽肿性唇炎:综述
Head Neck Pathol. 2014 Jun;8(2):209-13. doi: 10.1007/s12105-013-0488-2. Epub 2013 Sep 22.
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Cheilitis granulomatosa: a case report with review of literature.肉芽肿性唇炎:一例病例报告并文献复习
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Oro-facial granulomatosis--a clinical and pathological analysis.口面部肉芽肿病——临床与病理分析
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Melkersson-Rosenthal syndrome: a review of 36 patients.梅尔克森-罗森塔尔综合征:36例患者的回顾分析
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