Bulletin Board of Oral Pathology
Forum for Clinical and Surgical Oral Pathology
MESSAGE FROM THE MANAGER
The following is a summary of the responses made by 8 individuals for case BBOP 19-01 (https://emmer.com/bbop/forum/case201901.asp):
- Allergic contact dermatitis vs granulomatous cheilits - 3
- Cheilits granulomatosa associated with pregnancy - 2
- Cheilitis granulomatosa vs angioedema - 1
- Angioedema (ACE inhibitor), contact or food related - 1
- Chronic lip licking habit - 1
Some comments included:
- "A biopsy should be performed before considering any treatment or management. More clinical history would also be helpful, such as any factors that may aggravate or lessen the symptoms."
- "Due to the 4 week history I would suggest a biopsy before any treatment."
- "This patient appears to have cheilitis. Scaling and crusting is prominent with erosions. Does it itch??? I bet it does. Itching would not be a component of granulomatous cheilitis (generally). An allergic contact dermatitis is quite possible and your idea about patch testing is a good one. “
- “There are a few reports of cheilitis granulomatosa occuring during pregnancy"
- "Application of 40% urea cream should help together with further investigations. Also Benzoates and cinnamon products should be eliminated."
If available, Dr. Palazzolo will share with BBOP information about the diagnosis and management of this patient.
Your comments are welcomed to continue improving BBOP.
Alfredo Aguirre, D.D.S., M.S.
BBOP MANAGER
Director, Advanced Oral and Maxillofacial Pathology
Professor, Department of Oral Diagnostic Sciences
University at Buffalo, The State University of New York
Alfredo Aguirre, D.D.S., M.S.
Director, Advanced Oral and Maxillofacial Pathology
Professor, Department of Oral Diagnostic Sciences
University at Buffalo. The State University of New York
Tel: (716) 829-3553
[Back to BBOP Home Page] - [Back to Forum Home Page]