Oral Granulomatous Disease

Dermatol Clin. 2020 Oct;38(4):429-439. doi: 10.1016/j.det.2020.05.004.

Abstract

Granulomatous diseases are chronic inflammatory disorders whose pathogenesis is triggered by an array of infectious and noninfectious agents, and may be localized or a manifestation of systemic, disseminated disease. As in the skin, oral manifestations of granulomatous inflammation are often nonspecific in their clinical appearance. Thus, in the absence of overt foreign material or a recognizable infectious agent, identifying the underlying cause of the inflammation can be challenging. This article highlights various conditions known to induce granulomatous inflammation within the oral soft tissues.

Keywords: Crohn disease; Foreign body reaction; Granulomatosis with polyangiitis; Infectious disease; Orofacial granulomatosis; Periorificial dermatitis; Sarcoidosis.

Publication types

  • Review

MeSH terms

  • Crohn Disease / complications*
  • Crohn Disease / diagnosis
  • Dermatitis, Perioral / etiology
  • Dermatitis, Perioral / pathology
  • Granuloma / etiology*
  • Granuloma / pathology*
  • Granuloma, Foreign-Body / pathology
  • Granulomatosis with Polyangiitis / complications
  • Granulomatosis with Polyangiitis / diagnosis
  • Granulomatosis, Orofacial / diagnosis
  • Granulomatosis, Orofacial / therapy
  • Histoplasmosis / complications
  • Humans
  • Mouth Diseases / etiology*
  • Mouth Diseases / pathology
  • Sarcoidosis / complications
  • Sarcoidosis / diagnosis
  • Syphilis / complications
  • Tuberculosis, Oral / complications
  • Tuberculosis, Oral / diagnosis