Orofacial granulomatosis treated with intralesional triamcinolone.

Abstract

Orofacial granulomatosis (OFG) is an uncommon disease, usually presenting as recurrent or persistent swelling of the soft tissues in the orofacial region, predominantly lips (cheilitis granulomatosa). The cause of this illness is unknown. OFG may also be part of the triad of Melkersson-Rosenthal syndrome (MRS) and some consider it a monosymptomatic form of MRS. We describe a case of a Croatian male patient with recurrent swelling limited to the upper lip for the past 6 years. After establishing the diagnosis, we performed intralesional triamcinolone injections (16 mg, twice on a weekly schedule), resulting in complete remission. OFG differential diagnosis and treatment modalities are discussed.

• Authors: Ivan Alajbeg, Ana Andabak Rogulj, Zdenka Hutinec
• Journal: Acta dermatovenerologica Croatica : ADC (Acta Dermatovenerol Croat) Vol. 19 Issue 3 Pg. 165-9 ( 2011) ISSN: 1847-6538 [Electronic] Croatia
• PMID: 21933641 (Publication Type: Case Reports, Journal Article)

Chemical References

• Glucocorticoids
• Triamcinolone Acetonide

Topics

• Glucocorticoids (administration & dosage)
• Humans
• Injections, Intralesional
• Male
• Melkersson-Rosenthal Syndrome (drug therapy, pathology)
• Middle Aged
• Triamcinolone Acetonide (administration & dosage)