title: Granulomatous cheilitis of Miescher: the diagnostic proof for a Melkersson-Rosenthal syndrome.
abstract: BACKGROUND
  The Melkersson-Rosenthal syndrome (MRS) is a very rare clinical entity and its classical form is being characterized by the following triad: facial nerve palsy, swelling of the lips and fissured tongue. However, the monosymptomatic form is more common and the typical manifestation is facial edema and/or enlargement of the lips.
  
  
  METHODS
  We report a case of monosymptomatic MRS with a positive biopsy of granulomatous cheilitis.
  
  
  CONCLUSIONS
  In the daily practice as a pediatrician, it is not usual to diagnose a patient as having MRS. We consider that this is partly because of misdiagnosis. We therefore believe that this case report will supply additional information, in the scope of recurrent facial paralysis and orofacial edema in both children and adults.
authors.affiliation: Department of Pediatrics II, Iuliu Haţieganu University of Medicine and Pharmacy, 3 Crişan Street, Cluj-Napoca, Romania. andreea_rachisan@yahoo.com
authors.forename: Andreea Liana
authors.initials: AL
authors.lastname: Răchişan
authors.forename: A
authors.initials: A
authors.lastname: Hruşcă
authors.forename: D
authors.initials: D
authors.lastname: Gheban
authors.forename: Simona
authors.initials: S
authors.lastname: Căinap
authors.forename: T L
authors.initials: TL
authors.lastname: Pop
authors.forename: A
authors.initials: A
authors.lastname: Băican
authors.forename: L
authors.initials: L
authors.lastname: Fodor
authors.forename: N
authors.initials: N
authors.lastname: Miu
authors.forename: Mariana
authors.initials: M
authors.lastname: Andreica
mesh_terms: D000293:Adolescent; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D004487:Edema / Q000209:etiology / Q000473:pathology; D005260:Female; D006801:Humans; D008556:Melkersson-Rosenthal Syndrome / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D014063:Tongue, Fissured / Q000175:diagnosis / Q000473:pathology; D014222:Triamcinolone Acetonide / Q000627:therapeutic use
chemical_list: D000893:Anti-Inflammatory Agents; D014222:Triamcinolone Acetonide