factitious origins
Clinical Presentation • Usually involves lower lip of adult males (may occasionally
involve both lips) • Tender eversion and enlargement of lip • Mucoid to purulent secretion at minor salivary gland orifices
Diagnosis • Microscopy shows nonspecific inflammation. • Biopsy results may show labial salivary gland hyperplasia and
ductal ectasia. • Sialadenitis
Differential Diagnosis • Granulomatous cheilitis (orofacial granulomatosis) • Atopic cheilitis • Actinic or photosensitivity cheilitis
Treatment • Surgical excision • Suppressive therapy with broad-spectrum antibiotics • Intralesional corticosteroid injections
Prognosis • Chronic • Good