case_images: PMC11068242_01
case_images: Clinical photographs of the patient. (a) Extraoral appearance of the patient. (b) Enlarged lips. (c) Multiple neuromas near commissural region. (d) Enlarged tongue with multiple nodules near the anterior third of the tongue. (e) Spacing of maxillary anterior teeth. (f) High-arched palate
case_images: CCD-15-54-g001.jpg
case_images: PMC11068242_01_CCD-15-54-g001.jpg
case_images: ccd_215_23-f001
case_images: On extraoral examination, coarse-appearing peculiar facies with anteverted eyelids and anteverted nostrils were observed [Figure 1a]. The lips were diffusely enlarged and appeared everted and patulous [Figure 1b]. The palpable masses were present on the upper and lower lips, the most prominent and unsighted mass was on the midline of the upper lip [Figure 1c]. The tongue appeared enlarged with multiple nodules on the tip and anterior one-third of the tongue [Figure 1d]. The gingival tissue was not enlarged in size and shape but tended to bleed easily [Figure 1e]. Maxillary anterior teeth were protruded with spacing and rotated premolars, and high-arched palate [Figure 1f].
case_images: Radiographic examination of the jaws revealed a full set of permanent teeth
case_images: CCD-15-54-g002.jpg
case_images: PMC11068242_01_CCD-15-54-g002.jpg
case_images: ccd_215_23-f002
case_images: The radiograph revealed a full set of permanent teeth with impacted third molars [Figure 2].
case_images: Scanning photomicrograph revealed tortuous and disorganized nerve fibers surrounded by perineurium (H and E, x20)
case_images: CCD-15-54-g003.jpg
case_images: PMC11068242_01_CCD-15-54-g003.jpg
case_images: ccd_215_23-f003
case_images: The underlying connective tissue revealed nodule of proliferating, spindle-shaped disorganized, and tortuous nerve fibers surrounded by thickened perineurium, which was suggestive of mucosal neuromas [Figure 3].