Silica granuloma mimicking granulomatous cheilitis.
A 45-year-old female presented with macrocheilitis of the upper lip. Histologically numerous well-demarcated granulomas were present in the dermis and hypodermis. Examination under polarized light revealed birefringent crystalline particles. The patient had suffered a road accident 25 years ago. This case illustrates the characteristic features of silica granuloma without systemic manifestations. The clinical presentation as macrocheilitis may mislead into the wrong diagnosis.
Harms
M
M
Department of Dermatology, University Hospital, Geneva, Switzerland.
Masouyé
I
I
Saurat
J H
JH
D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000175:diagnosis*; D006801:Humans; D008047:Lip Diseases / Q000175:diagnosis* / Q000473:pathology; D008556:Melkersson-Rosenthal Syndrome / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D012822:Silicon Dioxide / Q000009:adverse effects
D012822:Silicon Dioxide