PMC10162890_01
PMC10162890_02
A) swelling of the lips with geographic tongue; B) gingival hyperplasia
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F1
On her clinical examination, she had a right facial palsy, a diffuse swelling mainly in the upper lip, deep fissures grooves on the dorsal surface of the tongue (Figure 1A) and finally a gingival hyperplasia (Figure 1B).
the biopsy of the swollen lip showing granulomatous cheilitis characterized by perivascular lymphocytic infiltration with granuloma formation (haematoxylin-eosin, original magnification x 100; granuloma near dilated vessel
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F2
Histopathological examination of a sampling removed from the upper lip showed focal perivascular infiltration composed of lymphoplasmocytes cells, dermal edema and granuloma formation near dilated vessels (Figure 2).
after treatment, residual swelling of the lips
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F3
Follow-up and outcome of interventions: two weeks following discharge, the patient had residual facial edema and facial palsy with the persistence of the fissured tongue (Figure 3).