Recurrent painless lump on lower lip in a girl; mucocele

A 10-year-old girl was admitted to pediatric rheumatology department due recurrent painless lump on her lower lip. Her past medical history revealed that she had the lesions began within last 4 months. The mother stated these started after younger brother born months ago. She presented with same complaint at another center 2 prior, and diagnosed stomatitis related deficiencies of vitamins zinc. Despite oral multi-vitamin zinc supplementation, local steroid anti-mycotic treatments, did not improve. Oral examination there a transparent liquid-filled around slightly hyperemic size 6x3 mm lip mucosa. On right side shrunken (Figure). dry. other organ systems, growth development parameters were normal. Regarding this typical image, lesion patient mucocele which is cystic minor salivary glands Mucoceles are typically or bluish, submucosal masses, more frequent most important cause habit cheek biting stress can lead trauma saliva leaks from damaged duct into adjacent connective tissue (1). Herpes simplex labialis, exposure an allergen should be considered in differential diagnosis. labialis caused by human herpes virus small blisters. vesicular recurrent. They usually occur mouth, lips, nose. Before appearance labialis; focal pain, burning, itching, tingling may observed affected area. vesicles tend merge, rupture, then crust quickly few days. improves completely two weeks (2). Exposure inflammation followed lump. Allergens trigger reaction lips include lipstick products (especially preadolescents adolescents), foods such as chocolate strawberry (in children), pet dandruff. Children type often experience swelling itchy lumps allergen. clinical findings compatible any above. When anamnesis detailed, it understood showed beginning jealous behavior associated birth his After brother, has low academic performance school compared year begun. excised surgically, child psychiatrist been consulted. It widely accepted surgical excision cryosurgery effective treatments for childhood mucoceles