肉芽肿性唇炎  

A case of cheilitis granulomatosa

作　　者：余凡 苏欣 朱晓芳 YU Fan;SU Xin;ZHU Xiao-fang(School of Clinical Medicine,Dalian Medical University,Dalian 116044,China)

机构地区：[1]大连医科大学临床医学院,辽宁大连116044 [2]扬州大学临床医学院皮肤科,江苏扬州225001

出　　处：《临床皮肤科杂志》2020年第7期423-425,共3页Journal of Clinical Dermatology

摘　　要：报告1例肉芽肿性唇炎。患者女,74岁。下唇部左侧及下颌部红肿3年,无自觉症状。皮肤科检查:下唇部左侧及下颌部可见水肿性紫红色斑块,触之有浸润感。皮损组织病理检查:表皮轻度萎缩,表皮突消失,真皮内结节状炎性细胞浸润(组织细胞、淋巴细胞及浆细胞),可见上皮样细胞肉芽肿,血管数目增多,管壁增厚,伴有内皮细胞肿胀。诊断:肉芽肿性唇炎。治疗:复方倍他米松局部注射,每月1次,共2次,皮损明显好转。A case of cheilitis granulomatosa is reported. A 74-year-old woman presented with swelling on the left lower lip and jaw without any self-conscious symptom for 3 years. Dermatological examination revealed an edematous and purple-red infiltrated plaque on the left lower lip and jaw. Histopathological examination showed slightly atrophic epidermis and disappeared rete ridges.Infiltration of nodular inflammatory cells, consisting of histocytes, lymphocytes and plasmocytes, was found in the dermis. Epithelioid cell granulomata, proliferation of vascular vessels with thickened wall, and swelling endothelial cells were seen. A diagnosis of cheilitis granulomatosa was made. The swelling was resolved by intraderma injection of diprospan once a month for two months.

关 键 词：唇炎 肉芽肿性 倍他米松 

分 类 号：R781.56[医药卫生—口腔医学]