OFG Flashcards
1
Q
What is OFG?
A
Uncommon condition causing persistent swelling in lips/face/mouth
(Blockage of lymphatic drainage)
2
Q
What causes OFG?
A
Unknown
Thought to be related to an immune reaction/allergy
Presentation similar to Crohn’s disease therefore investigations for underlying disease are important
3
Q
What are the symptoms of OFG?
A
Lip/gum/face swelling
Ulcers
Tongue fissuring
Cobblestone mucosa
Dry red skin corners of mouth
Painful gums that may BOB
Pain eating hot/spicy/hard foods
4
Q
Can OFG be cured?
A
As the cause is not fully understood there is no curative tx but it can be controlled
5
Q
How is OFG diagnosed/tx?
A
- Important to refer to GMP for screening: FBC,haematinics + stool test
Crohns screening (as they can present similar)
Growth monitoring - 3mth dietary exclusion - benzoic acid, sorbic acid, cinnamon, chocolate
CHX + symptomatic relief for ulcers
If no response - refer to specialists for topical corticosteroids
Miconazole - angular cheilitis
Tacrolimus ointment - 0.03%
6
Q
Examples of systemic immune modulators specialist tx
A
Azathioprine
Prednisolone
