Dermatology Online Journal

Unknown: Erythematous indurated swelling on nose and upper lip
Neeraj Srivastava MD, Nitin Mishra MBBS, Sanjay Singh MD DNB PhD
Dermatology Online Journal 14 (8): 16

Department of Dermatology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221005, India. sanjaye2@gmail.com

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Abstract

A 40-year-old man presented with nodules and plaques of the nose and upper lip, progessive over 1½ years.

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Clinical synopsis

Figure 1

A 40-year-old male presented with a diffuse erythematous swelling involving the upper lip and lower part of the nose that was of 1½ years duration. Initially the patient had complaints of nasal stuffiness and blockage, followed by the appearance of a small nodule on the nose. This gradually increased in size and spread to involve the upper lip. The lesion was asymptomatic and the patient's only concern was cosmetic disfigurement. On clinical examination, there was a diffuse erythematous indurated swelling of the upper lip and lower part of the nose. On the surface of the lesion crusting was present along with sero-sanginous discharge (Fig. 1). The surrounding areas of bilateral cheeks and the upper part of the nose showed erythema. Oral mucosa and palate were normal. There was no lymphadenopathy.

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