CLINICAL AND PATHOLOGICAL ASPECTS OF GRANULOMATOSIS QUEILITE: CASE REPORT

Abstract

Introduction: Granulomatous cheilitis (HQ) is a rare oral lesion, presenting clinically granulomatous  swelling  on  the  lip.  Objective:  This  study  aims  to  present  a  case report of HG, considering the difficulty of diagnosis and treatment of inflammatory conditions with unknown etiologies that affect the oral cavity. Objective: This study aims  to  present  a  case  report  of  HG,  considering  the  difficulty  of  diagnosis  and treatment of inflammatory conditions with unknown etiologies that affect the oral cavity. Case  report: A  female  patient  presented  increased  volume  in the  upper  lip showing  painful  symptoms,  but  without  reporting  associations  with  systemic alterations.  During  the  clinical  examination  it  was  observed  that  the  upper  lip presented  deep  fissures,  also  observing  edema  that  extended  from  the  labial commissure,  crossing  the  middle  line.  The  diagnostic  hypothesis  of  GQ  was  then raised.    An    incisional    biopsy    was    performed    to    confirm    the    diagnosis. Histopathological  analysis  revealed  the  presence  of  non-caseous  granulomas  and perivascular  lymphoplasmacytic  inflammatory  infiltrate.  According  to  the  clinical data  and  histopathological  analysis  the  initial  diagnosis  of  GH  was  given.  After initial diagnosis of HG, the patient was referred for medical evaluation to evaluate possible intestinal changes that could characterize Melkersson-Rosenthal syndrome or  Cronh,  as  well  as  possible  late  hypersensitivity  reactions. Conclusions: The dentist  should  be  prepared  to  diagnose  significant  volume  increases  in  the  lips  in order  to  correctly  manage  the  patient's  treatment,  thus  establishing  favorable prognoses for these conditions.