Case Report
Idiopathic Orofacial Granulomatosis with Varied Clinical Presentation
Table 2
Differential diagnosis of orofacial granulomatosis.
| Disease | Features different to OFG |
| Crohn’s disease | Have illeal and/or rectal disease | Sarcoidosis | Pulmonary, cutaneuos, lacrimal, salivary, neurological, skeletal features | Allergic angioedema | Nonpitting oedema of lips, tongue, pharynx, face. History of atopic disease | Miescher’s cheilitis | Labial enlargement, similar histopathology to OFG | Melkerson-Rosenthal syndrome | Labial enlargement, fissuring of tongue, facial nerve palsy variant of OFG | Cheilitis glandularis | Labial enlargement with ulcers. Mild acute and chronic inflammation (without granuloma) within minor salivary glands of lip | Tuberculosis | Rarely lips. Usually contain caseating granuloma |
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