Article: Volume 43 Number 6 Page 593 - July/August 2016

  Dent Update 2016; 43: 593-594  Read article

Clinical Challenges Q&A:  Clinical Challenges Q&A 22. Red Mark on Face and Lip

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Abstract: A 56-year--old woman came for her annual dental check-up. A deep red mark on her face extending ipsilaterally from the right malar region to the lateral part of the nose, upper and lower eyelid and upper lip was noted (Figure 1). Oral examination showed the lesion also on the upper right gingivae and buccal mucosa to the mid-line. This mark was present since birth but had changed in colour from pink to deep purple over the last 30 years. There were no similar lesions in other parts of her body or in her close relatives. The patient suffered from chronic headaches, hypertension and glaucoma. She was a light smoker (5–6 cigarettes/day) and non- drinker.

Author notes: 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, Co-Director of WHO Collaborating Centre for Oral Health-General Health: and Emeritus Professor, University College London, UK and Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece.