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A 43 year old male presented with the chief complaint of non-painful swelling of upper and lower lips from past one year. At anamnesis, we did not find any allergic disease, trauma and/or past recent injuries. Personal history revealed a facial palsy at the age of ten years as s singular manifestation. The physical examination revealed a painful, swollen upper and lower lip with bleeding and cracking on the surface (Figure-1) and scrotal tongue (Figure-2). Presence of all three manifestation from the past until present, prompted us to perform a biopsy from lip. Histological examination revealed several non caseating granulomas made up of lymphocytes centrally and large epithelloid cells at periphery,many multinucleated giant cells some of them are langerhans type dispersed in the connective tissue stroma, Areas of lymphoid follicle with germinal center were also seen (Figure-3). With the correlation of all the findings, a final diagnosis of monostotic Malkersson – Rosenthal syndrome was made.
Dr. Manas Bajpai, . (2016) MELKERSSON–ROSENTHAL SYNDROME–A RARE FINDIN, JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD, Volume 28, Issue 1.
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