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Crusted Swollen Lower LipQuiz Case
Catherine Chen-Tsai, MD;
Caroline Wilkel, MD;
Richard Laws, MD
Roger Williams Medical Center, Providence, RI
Arch Dermatol. 2006;142:1643-1648.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 20-year-old man presented with a 2-year history of a persistently red and swollen lower lip. He stated that the lip always felt moist and had areas of crusting. There was no history of bleeding or pain. The patient did not report lip licking or an outdoor occupation. He denied alcohol and tobacco use. He had applied an unknown lip balm from Mexico and a commercially available lip moisturizer (Chapstick; Wyeth Consumer Healthcare, Richmond, Va) for several months, without improvement. He was otherwise healthy.
Physical examination revealed an enlarged deeply erythematous lower lip that was prominently everted (Figure 1). On the surface, there were many fine superficial erosions that produced clear sticky fluid. On palpation, the lip was thickened, with minimal nodularity. A punch biopsy specimen was obtained from the lower lip (Figure 2) and stained with . . . [Full Text of this Article]
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Crusted Swollen Lower LipDiagnosis
Arch Dermatol. 2006;142(12):1643-1648.
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