Orofacial granulomatosis

Also known as: cheilitis granulomatosa, Miescher-Melkersson-Rosenthal syndrome, granulomatous cheilitis

Clinical Features:

  • Presents with lip swelling, sometimes with more extensive facial involvement, particularly affecting the eyelids
  • The penis and vulva can be affected by similar lesions.
  • Miescher-Melkersson-Rosenthal syndrome displays the triad of lep swelling, unilateral facial paralysis and a furrowed tongue.

Histologic Features:

  • Non-necrotizing, poorly formed "naked" granulomas within the dermis
  • Marked dermal edema
  • Dilated dermal lymphatics
  • Perivascular dermal lymphoplasmacytic infiltrate

Cases associated with this book:

  • Orofacial granulomatosis
    Author: Stephen Lyle, M.D., Ph.D.

    Conference: Dermpedia Teaching Collection