Orofacial Granulomatosis Treated with Dietary Therapy

Abstract：We report a case of orofacial granulomatosis (OFG) that was treated with dietary therapy.The patient was a 16-year-old male who came to our hospital with a chief complaint of buccal mucosa pain when opening the mouth.A biopsy of the buccal mucosa was performed and was histopathologically diagnosed as granuloma without necrosis.Systemic examination revealed no findings suggestive of Crohnʼs disease or sarcoidosis.Based on the clinical and pathological findings, OFG was diagnosed and the patient was started on a 12-week diet.Two days later, the pain improved and the lips and oral mucosa normalized over time.Key words：orofacial granulomatosis(口腔顔面肉芽腫症) ，dietary therapy(食事療法) ，Crohnʼs disease(クローン病) ， sarcoidosis(サルコイドーシス) 〔Received Jun. 19, 2024〕 緒 言 Orofacial granulomatosis(OFG)は，口腔顔面組織に 生じるまれな肉芽腫性疾患である。