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肉芽肿性唇炎临床少见,又不易被临床医务者重视,所以误诊较多。现将我们敢治的1例报道如下。患者,女性,57岁,农民。上唇反复肿胀7个月,曾以血管神经性水肿等多种疾病诊治过,但均无好转,于1990年4月16日转入我院就诊。查体:上唇部弥漫性肿胀,皮肤潮红,无脱屑、糜烂及渗出,左右对称。压之不痛,无水肿性凹陷,但肥厚有弹性,有结节感,舌无裂纹,也无面瘫,颌面部淋巴结末触及。病理:活检拟诊为肉芽肿性唇炎。
Granulomatous cheilitis clinically rare, but not easy to be valued by clinicians, so misdiagnosis more. Now we dare rule of a report as follows. Patient, female, 57 years old, farmer. The upper lip repeatedly swollen for 7 months, had a variety of diseases such as neurogenic edema diagnosis and treatment, but no improvement, in April 16, 1990 transferred to our hospital. Examination: diffuse swelling of the upper lip, the skin flushing, no scaling, erosion and exudation, so symmetrical. Pressure of the pain, no edema depression, but hypertrophy and elasticity, nodular flu, no crack in the tongue, no facial paralysis, maxillofacial lymph node at the end touch. Pathology: Biopsy diagnosed as granulomatous cheilitis.