title: [Cheilitis granulomatosa as the first manifestation of Crohn's disease].
abstract: A 39-year-old man developed a painless swelling of the lower lip, which histologically was a granulomatous inflammation of the corium as in granulomatous cheilitis. Four weeks after onset of the disease recurrent diarrhoea set in, the result of Crohn's disease of the jejunum, terminal ileum and caecum. Granulomatous cheilitis, occurring as sole sign of the Melkersson-Rosenthal syndrome, is a manifestation of Crohn's disease. Even if there are no intestinal symptoms. Crohn's disease must be excluded in the differential diagnosis.
authors: Medizinische Klinik und Poliklinik der Universität Tübingen, Abteilung Innere Medizin.
authors: H
authors: H
authors: Jenss
authors: M
authors: M
authors: Plauth
authors: R
authors: R
authors: Hoffmann
authors: P
authors: P
authors: Weber
mesh_terms: D000328:Adult; D001706:Biopsy; D003113:Colonoscopy; D003424:Crohn Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D006801:Humans; D008046:Lip / Q000473:pathology; D008297:Male; D008556:Melkersson-Rosenthal Syndrome / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
vernacular_title: Cheilitis granulomatosa als erste Manifestation eines Morbus Crohn.