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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

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Background

Granulomatous 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.

Pathophysiology

In granulomatous cheilitis, normal lip architecture is eventually altered by the presence of lymphoedema and noncaseating granulomas in the lamina propria.

Frequency

International

The frequency is unknown; the condition is rare.

Mortality/Morbidity

Morbidity depends on whether underlying organic disease, such as Crohn disease or sarcoidosis, is present.

Race

No racial predilection is recognized.

Sex

No sexual predilection is known.

Age

Onset 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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