Borderline leprosy masquerading as cheilitis granulomatosa: A case report

Borderline tuberculoid leprosy misdiagnosed as Cheilitis Granulomatosa Miescher: A case report

“…We report a case of borderline tuberculoid leprosy presenting with chronic lip swelling for 2 years. Chronic macrocheilia as a presenting feature of borderline tuberculoid leprosy has been reported in a handful of reports in the literature, making our case report extremely rare 2,4,5 …”

“…1 , 2 The oro‐mucosal involvement is a common late manifestation in LL; however, oro‐mucosal lesions are rare in the tuberculoid and borderline spectrum. 2 , 5 , 7 …”

“…Chronic macrocheilia as a presenting feature of borderline tuberculoid leprosy has been reported in a handful of reports in the literature, making our case report extremely rare. 2 , 4 , 5 …”

Borderline Tuberculoid Hansen Disease Presenting as Chronic Macrocheilia

“…The oral cavity involvement is about 20-60% in lepromatous leprosy whereas it is rare in tuberculoid and borderline tuberculoid spectrum of the disease. 1 It is usually asymptomatic in nature with slow progression. 2 The epithelioid granulomas in leprosy block the lymphatic channels, thereby producing swelling of the lips.…”

“…2 The epithelioid granulomas in leprosy block the lymphatic channels, thereby producing swelling of the lips. 1 It can present as microstomia, macrocheilia, or flat-topped nodules thereby producing severe cosmetic impairment. 2 The differential diagnosis of chronic macrocheilia includes infections like cutaneous tuberculosis, Hansen disease, syphilis, leishmaniasis, rhinoscleroma, histoplasmosis, and post-odontogenic infections.…”