Ramadhan Abdullah, Chapman Erin, Chow Eunice Y
Division of Dermatology, Department of Medicine, University of Alberta, Edmonton, AB, Canada.
Department of Laboratory Medicine and Pathology, University of Alberta, Edmonton, AB, Canada.
SAGE Open Med Case Rep. 2024 Dec 24;12:2050313X241307124. doi: 10.1177/2050313X241307124. eCollection 2024.
Glycogenic acanthosis (GA) is a benign, asymptomatic condition commonly found in the lower third of the esophagus. This case report presents a unique occurrence of GA on the lips of a 55-year-old male smoker, who exhibited asymptomatic white lesions on his upper and lower lips for many years. Physical examination revealed multiple white papules on the wet-dry vermilion border of the lips. Biopsies confirmed the diagnosis of GA, showing acanthosis, hyperkeratosis, and glycogenesis without dysplasia. The rarity of GA on the lips underscores the need to consider it in the differential diagnosis of white papules on the lips. This report is the first to document GA's histopathological features on the lips, highlighting its potential occurrence in atypical sites.
糖原棘皮症(GA)是一种常见于食管下三分之一段的良性、无症状病症。本病例报告呈现了一名55岁男性吸烟者嘴唇上独特的GA病例,该患者上下唇出现无症状白色病变多年。体格检查发现嘴唇干湿唇红交界处有多个白色丘疹。活检确诊为GA,显示棘皮症、角化过度和糖原生成,无发育异常。GA出现在嘴唇上的罕见情况凸显了在唇部白色丘疹鉴别诊断中考虑该病的必要性。本报告首次记录了GA在嘴唇上的组织病理学特征,强调了其在非典型部位可能出现的情况。