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Article: Volume 43 Number 7 Page 696 - September 2016

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  Dent Update 2016; 43: 696-696

Clinical Challenges Q&A:  Clinical Challenges Q&A 23. Lip Swelling

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Abstract: A 27-year- old male presented with an asymptomatic slowly increasing swelling of both lips over two months (Figure 1). The swelling was diffuse, non-tender and more intense in his lower lip and associated with a few small ulcers intra-orally. Extra-orally, there was no detectable peri-oral erythema, other skin lesions, pyrexia or cervical lymphadenopathy. His medical history was clear of allergies, local trauma or infections. He used to smoke 5 to 15 cigarettes per day which he had stopped over the previous two weeks owing to episodes of abdominal pain followed by diarrhoea, nausea and vomiting. None of his close relatives had reported similar problems.

Author notes: Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, 1st Health Region of Attica, Primary National Health System, Athens, Greece, (dim.malamos@gmail.com) and Crispian Scully, CBE, MD, PhD, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSE, FRCPath, FMedSci, FHEA, FUCL, DSc, DChD, DMed(HC), Dr HC, Emeritus Professor, University College London, UK.