Excerpt from Cheilitis Granulomatosa (Miescher-Melkersson-Rosenthal Syndrome)Synonyms, Key Words, and Related Terms: granulomatous cheilitis, orofacial granulomatosis, Miescher cheilitis, Melkersson-Rosenthal syndrome, Rossolimo-Melkersson-Rosenthal syndrome, swelling of the lip, Crohn disease, Crohn's disease Please click here to view the full topic text: Cheilitis Granulomatosa (Miescher-Melkersson-Rosenthal Syndrome)BackgroundGranulomatous cheilitis is a chronic swelling of the lip due to granulomatous inflammation. Miescher cheilitis is the term used when the granulomatous changes are confined to the lip. Miescher cheilitis is generally regarded as a monosymptomatic form of the Melkersson-Rosenthal syndrome, although the possibility remains that these may be 2 separate diseases. Melkersson-Rosenthal syndrome is the term used when cheilitis occurs with facial palsy and plicated tongue. Melkersson-Rosenthal syndrome is occasionally a manifestation of Crohn disease or orofacial granulomatosis. PathophysiologyIn granulomatous cheilitis, normal lip architecture is eventually altered by the presence of lymphoedema and noncaseating granulomas in the lamina propria. FrequencyInternationalThe frequency is unknown; the condition is rare. Mortality/MorbidityMorbidity depends on whether underlying organic disease, such as Crohn disease or sarcoidosis, is present. RaceNo racial predilection is recognized. SexNo sexual predilection is known. AgeOnset usually occurs in young adult life. Please click here to view the full topic text: Cheilitis Granulomatosa (Miescher-Melkersson-Rosenthal Syndrome) |
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