Recurrent lip swelling: a diagnostic challenge
Identifieur interne : 001F96 ( Pmc/Curation ); précédent : 001F95; suivant : 001F97Recurrent lip swelling: a diagnostic challenge
Auteurs : Sonam Lakhani [Royaume-Uni] ; Sheena Barnett [Royaume-Uni] ; Anwar R. Tappuni [Royaume-Uni] ; Raj K. Rajakulasingam [Royaume-Uni]Source :
- BMJ Case Reports [ 1757-790X ] ; 2014.
Abstract
A Caucasian woman in her late 20s was referred to the allergy/chest clinic by her general practitioner with an 8-month history of recurrent facial angio-oedema. She had no history of urticaria or airways symptoms and denied any similar problems previously. She had no family history of similar illness and was not on any regular medications. There was no history of atopy. Initially, a clinical diagnosis of idiopathic angio-oedema was made. Despite being treated with several antihistamines with doses equivalent to 40 mg of cetirizine/day, her problem had failed to respond satisfactorily. Later on, she also revealed history of intermittent gastrointestinal symptoms such as abdominal pain and diarrhoea. Routine investigations were unremarkable. The patient was referred to a dermatology clinic and a diagnosis of orofacial granulomatosis was suggested: a rare granulomatous disease presenting with lip enlargement, which may or may not be associated with Crohn's disease. A biopsy of the oral mucosa was consistent with this diagnosis.
Url:
DOI: 10.1136/bcr-2013-203018
PubMed: 25188924
PubMed Central: 4154022
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Tappuni</name><affiliation wicri:level="1"><nlm:aff id="af2"><institution>Institute of Dentistry, Queen Mary University of London</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Rajakulasingam, Raj K" sort="Rajakulasingam, Raj K" uniqKey="Rajakulasingam R" first="Raj K" last="Rajakulasingam">Raj K. Rajakulasingam</name><affiliation wicri:level="1"><nlm:aff id="af1"><addr-line>Respiratory Department</addr-line>,<institution>Homerton University Hospital</institution>,<addr-line>London</addr-line>,<country>UK</country></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMJ Case Reports</title><idno type="eISSN">1757-790X</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A Caucasian woman in her late 20s was referred to the allergy/chest clinic by her general practitioner with an 8-month history of recurrent facial angio-oedema. She had no history of urticaria or airways symptoms and denied any similar problems previously. She had no family history of similar illness and was not on any regular medications. There was no history of atopy. Initially, a clinical diagnosis of idiopathic angio-oedema was made. Despite being treated with several antihistamines with doses equivalent to 40 mg of cetirizine/day, her problem had failed to respond satisfactorily. Later on, she also revealed history of intermittent gastrointestinal symptoms such as abdominal pain and diarrhoea. Routine investigations were unremarkable. The patient was referred to a dermatology clinic and a diagnosis of orofacial granulomatosis was suggested: a rare granulomatous disease presenting with lip enlargement, which may or may not be associated with Crohn's disease. A biopsy of the oral mucosa was consistent with this diagnosis.</p></div></front></TEI><pmc article-type="case-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMJ Case Rep</journal-id><journal-id journal-id-type="iso-abbrev">BMJ Case Rep</journal-id><journal-id journal-id-type="hwp">casereports</journal-id><journal-id journal-id-type="publisher-id">bmjcasereports</journal-id><journal-title-group><journal-title>BMJ Case Reports</journal-title></journal-title-group><issn pub-type="epub">1757-790X</issn><publisher><publisher-name>BMJ Publishing Group</publisher-name><publisher-loc>BMA House, Tavistock Square, London, WC1H 9JR</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">25188924</article-id><article-id pub-id-type="pmc">4154022</article-id><article-id pub-id-type="publisher-id">bcr-2013-203018</article-id><article-id pub-id-type="doi">10.1136/bcr-2013-203018</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group><subj-group subj-group-type="hwp-journal-coll"><subject>1523</subject></subj-group><subj-group subj-group-type="case-report-type"><subject>Rare Disease</subject></subj-group><subj-group subj-group-type="search-fields"><subject>Female</subject><subject>19-30 years</subject><subject>White</subject><subject>United Kingdom</subject></subj-group><series-title>Case Report</series-title></article-categories><title-group><article-title>Recurrent lip swelling: a diagnostic challenge</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Lakhani</surname><given-names>Sonam</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Barnett</surname><given-names>Sheena</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib><contrib contrib-type="author"><name><surname>Tappuni</surname><given-names>Anwar R</given-names></name><xref ref-type="aff" rid="af2">2</xref></contrib><contrib contrib-type="author"><name><surname>Rajakulasingam</surname><given-names>Raj K</given-names></name><xref ref-type="aff" rid="af1">1</xref></contrib></contrib-group><aff id="af1"><label>1</label><addr-line>Respiratory Department</addr-line>,<institution>Homerton University Hospital</institution>,<addr-line>London</addr-line>,<country>UK</country></aff><aff id="af2"><label>2</label><institution>Institute of Dentistry, Queen Mary University of London</institution>,<addr-line>London</addr-line>,<country>UK</country></aff><author-notes><corresp><label>Correspondence to</label> Sonam Lakhani, <email>ha10099@qmul.ac.uk</email></corresp></author-notes><pub-date pub-type="collection"><year>2014</year></pub-date><pub-date pub-type="epub"><day>21</day><month>8</month><year>2014</year></pub-date><volume>2014</volume><elocation-id>bcr2013203018</elocation-id><history><date date-type="accepted"><day>4</day><month>8</month><year>2014</year></date></history><permissions><copyright-statement>2014 BMJ Publishing Group Ltd</copyright-statement><copyright-year>2014</copyright-year></permissions><self-uri xlink:title="pdf" xlink:type="simple" xlink:href="bcr-2013-203018.pdf"></self-uri><abstract><p>A Caucasian woman in her late 20s was referred to the allergy/chest clinic by her general practitioner with an 8-month history of recurrent facial angio-oedema. She had no history of urticaria or airways symptoms and denied any similar problems previously. She had no family history of similar illness and was not on any regular medications. There was no history of atopy. Initially, a clinical diagnosis of idiopathic angio-oedema was made. Despite being treated with several antihistamines with doses equivalent to 40 mg of cetirizine/day, her problem had failed to respond satisfactorily. Later on, she also revealed history of intermittent gastrointestinal symptoms such as abdominal pain and diarrhoea. Routine investigations were unremarkable. The patient was referred to a dermatology clinic and a diagnosis of orofacial granulomatosis was suggested: a rare granulomatous disease presenting with lip enlargement, which may or may not be associated with Crohn's disease. A biopsy of the oral mucosa was consistent with this diagnosis.</p></abstract></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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