title: Orofacial granulomatosis treated with intralesional triamcinolone.
abstract: Orofacial granulomatosis (OFG) is an uncommon disease, usually presenting as recurrent or persistent swelling of the soft tissues in the orofacial region, predominantly lips (cheilitis granulomatosa). The cause of this illness is unknown. OFG may also be part of the triad of Melkersson-Rosenthal syndrome (MRS) and some consider it a monosymptomatic form of MRS. We describe a case of a Croatian male patient with recurrent swelling limited to the upper lip for the past 6 years. After establishing the diagnosis, we performed intralesional triamcinolone injections (16 mg, twice on a weekly schedule), resulting in complete remission. OFG differential diagnosis and treatment modalities are discussed.
authors.affiliation: Department of Oral Medicine, School of Dental Medicine, University of Zagreb, Croatia. alajbeg@sfzg.hr
authors.forename: Ivan
authors.initials: I
authors.lastname: Alajbeg
authors.forename: Ana Andabak
authors.initials: AA
authors.lastname: Rogulj
authors.forename: Zdenka
authors.initials: Z
authors.lastname: Hutinec
mesh_terms: D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D015552:Injections, Intralesional; D008297:Male; D008556:Melkersson-Rosenthal Syndrome / Q000188:drug therapy* / Q000473:pathology; D008875:Middle Aged; D014222:Triamcinolone Acetonide / Q000008:administration & dosage*
chemical_list: D005938:Glucocorticoids; D014222:Triamcinolone Acetonide