PMC5573494_01
(a) Swelling and asymmetry in the right side of the upper lip of the patient, 
(b) Cheilitis in the right side of the upper lip.
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fig1
The patient has reported that the  swelling in the upper lip had repeated with certain intervals (Figure 1).
Patient's fissural tongue.
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fig2
During intraoral examination it was observed that the  patient had fissural tongue (Figure 2).
Upper lip ultrasonography of the patient, gray scale: thickness thought to be consistent with the edema-inflammation of the nasolabial subcutaneous soft 
tissue on the right side, and the increase of blood supply together with the increase in the echogenicity observed in the Doppler examination.
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fig3
Clinical photograph of the patient after steroid therapy of 26 days.
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fig4
Swelling of the lip was disappeared after the steroid therapy  (Figure 4).