Forum for Clinical and Surgical Oral Pathology

Case BBOPF 19-1

Dr. Mitzi J. Palazzolo is seeking your help.

Clinical History

The patient is a 42 year-old female with 4 week history of lip swelling. The patient is in the second trimester of pregnancy.

At first glance I thought of orofacial granulomatosis and cheilitis granulomatosa. The patient does not have a history of Sarcoidosis or Crohn’s but I think those should be ruled out. No history of any new creams, medications or beauty products in the area. But it wouldn’t be a bad idea to rule out contact dermatitis with patch testing or other by derm. Furthermore, I am not sure about using intra-lesional injections with steroids (such as triamcinolone) during pregnancy.

I would appreciate:

1. Your input regarding management of this patient.
2. The name of a professional in the Nebraska area who could help this patient.

I appreciate your opinions and efforts on behalf of this patient.
Sincerely,
Dr. Mitzi J. Palazzolo

This case will be posted until May 22, 2019. A summary of the responses will then be posted.

Images

Case prepared by Dr. Alfredo Aguirre (BBOP Manager) and Daniel Emmer (University at Buffalo School of Dental Medicine).