case_images: PMC3567407_01
case_images: PMC3567407_02
case_images: Diffuse swelling of the upper lip.
case_images: PAMJ-13-75-g001.jpg
case_images: PMC3567407_02_PAMJ-13-75-g001.jpg
case_images: F0001
case_images: Clinical examination found a diffuse swelling of upper lip (Figure 1) associated to lingua plicata and facial asymmetry.
case_images: Labial mucosa biopsies showed non-necrotizing giganto-epithelioid granuloma
case_images: PAMJ-13-75-g002.jpg
case_images: PMC3567407_02_PAMJ-13-75-g002.jpg
case_images: F0002
case_images: Labial mucosa biopsy showed non-necrotizing giganto-epithelioid granuloma confirming Miescher's cheilitis granulomatosa (Figure 2).
case_images: Intralesional betamethasone injection
case_images: PAMJ-13-75-g003.jpg
case_images: PMC3567407_02_PAMJ-13-75-g003.jpg
case_images: F0003
case_images: We prescribed intra-lesional betamethasone injections (7 mg / ml): 1 ml per injection (Figure 3) once a month for three months associated to a single daily dose of doxycycline 200 mg for 3 months.
case_images: Result after three months of treatment
case_images: PAMJ-13-75-g004.jpg
case_images: PMC3567407_02_PAMJ-13-75-g004.jpg
case_images: F0004
case_images: Gradual and permanent reduction of the upper lip volume was observed after three months of treatment (Figure 4).