MinervaBMJ 2009; 338 doi: https://doi.org/10.1136/bmj.b849 (Published 02 March 2009) Cite this as: BMJ 2009;338:b849
- Katherine Catford, paediatric specialist registrar,
- Vas Mahendrayogam, foundation year 1,
- Ramen Lakshman, consultant paediatrician
This otherwise healthy 8 year old boy was referred with persistent swelling of his upper lip. The diagnosis was orofacial granulomatosis, a chronic non-caseating granulomatous inflammation that usually affects the upper lip. The natural history is of a fluctuating condition with some evidence of aggravation by food additives, and dietary exclusions (of sodium benzoate) may be tried as a treatment. Most importantly, this condition can be a presentation of Crohn’s disease; initial investigations and regular follow-up should be arranged with this in mind.⇑
Cite this as: BMJ 2009;338:b849
Patient consent obtained.
Log in using your username and password
Log in through your institution
Register for a free trial to thebmj.com to receive unlimited access to all content on thebmj.com for 14 days.
Sign up for a free trial