A 60-year-old man presented with a medical history of lip enlargement with nodular growths, which he developed 4-months ago. On examination, multiple symmetrical erythematous and flesh-colored papules and nodules were seen on the upper and lower lips with extension onto the vermilion border (Image attached for reference). A biopsy of the vermilion lip was carried out (Image attached for reference). The clinical, histologic, and flow cytometry findings were suggestive of chronic lymphocytic leukemia (CLL).
What is the more likely diagnosis in this case? Lip licker’s dermatitis Granulomatous cheilitis Leukemia labialis Pyostomatitis vegetans *This case is from the Docplexus Editorial Team for educative purposes only. Source: JAMA The correct answer is posted in the comment section below!
