case_images: PMC10162890_01
case_images: PMC10162890_02
case_images: A) swelling of the lips with geographic tongue; B) gingival hyperplasia
case_images: PAMJ-44-72-g001.jpg
case_images: PMC10162890_02_PAMJ-44-72-g001.jpg
case_images: F1
case_images: 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).
case_images: 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
case_images: PAMJ-44-72-g002.jpg
case_images: PMC10162890_02_PAMJ-44-72-g002.jpg
case_images: F2
case_images: 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).
case_images: after treatment, residual swelling of the lips
case_images: PAMJ-44-72-g003.jpg
case_images: PMC10162890_02_PAMJ-44-72-g003.jpg
case_images: F3
case_images: 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).