title: OROFACIAL GRANULOMATOSIS: CASE REPORT.
abstract: An 18-year-old girl was referred to the Department of Oral Medicine with upper lip swelling. She was in good general health and laboratory tests were within the normal range. Histopathologic diagnosis did not reveal the presence of granulomas. This is consistent with the finding that 30% of patients with orofacial granulomatosis do not have granulomas on their biopsies. The patient was treated with intralesional steroids once a week for three weeks. The lesion subsided, but not completely, and recurred partially after ketchup intake. This case report highlights the fact that in every patient with non-odontogenic facial or oral swelling, systemic diseases such as sarcoidosis, Crohn's disease, tuberculosis, etc. must be excluded. Furthermore, it is not unusual that in patients with orofacial granulomatosis, noncaseating granulomas are absent in the histopathologic finding.
authors.forename: Vlaho
authors.initials: V
authors.lastname: Brailo
authors.forename: Vanja Vučićević
authors.initials: VV
authors.lastname: Boras
authors.forename: Sven
authors.initials: S
authors.lastname: Seiwert
authors.forename: Vedran
authors.initials: V
authors.lastname: Tomašić
authors.forename: Iva
authors.initials: I
authors.lastname: Bakale
authors.forename: Danica Vidović
authors.initials: DV
authors.lastname: Juras
authors.forename: Suzana Ljubojević
authors.initials: SL
authors.lastname: Hadžavdić
mesh_terms: D000293:Adolescent; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D005260:Female; D051261:Granulomatosis, Orofacial / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D015552:Injections, Intralesional
chemical_list: D000305:Adrenal Cortex Hormones