Prominent inferior labial artery
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|synonyms = Caliber-persistent labial artery
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Prominent inferior labial artery, also known as caliber-persistent labial artery is characterized by the appearance of a pulsating papule in the lower vermilion, a centimeter of two from the oral comissure, formed by an especially tortuous segment of the inferior labial artery.James, William; Berger, Timothy; Elston, Dirk (2005). Andrews' Diseases of the Skin: Clinical Dermatology. (10th ed.). Saunders. Page 586. {{ISBN|0-7216-2921-0}}.
Signs and symptoms
Prominent inferior labial artery may manifest as a linear pulsating nodule with bluish or normal mucosal color, a soft-tissue papule, or an ulcer. Usually, there are no symptoms. Periodically, the patient may experience a felt or visual increase in pulse volume at the lesion site.{{cite journal | last1=Thanthoni | first1=Malarkodi | last2=Rajeev | first2=P | last3=Sathasivasubramanian | first3=S | title=Caliber-Persistent Labial Artery: A Report of a Rarely Recognized Lip Swelling | journal=Journal of Clinical Imaging Science | publisher=Scientific Scholar | volume=8 | date=2018-09-20 | issn=2156-7514 | doi=10.4103/jcis.jcis_43_18 | doi-access=free | page=41| pmid=30283723 | pmc=6157096 }} Haemorrhagic events have also been recorded by ulcerative patients.{{cite journal | last1=AbdulHameed AbdulMajeed | first1=Ahmad | last2=Farah | first2=Camile S. | title=Intra-oral calibre persistent artery | journal=Journal of Cranio-Maxillofacial Surgery | publisher=Elsevier BV | volume=38 | issue=5 | year=2010 | issn=1010-5182 | doi=10.1016/j.jcms.2009.10.009 | pages=331–333| pmid=19906538 }}{{cite journal | last1=Kocyigit | first1=P. | last2=Kocyigit | first2=D. | last3=Akay | first3=B. N. | last4=Ustuner | first4=E. | last5=Kisnisci | first5=R. | title=Calibre persistent labial artery: clinical features and noninvasive radiological diagnosis | journal=Clinical and Experimental Dermatology | publisher=Oxford University Press (OUP) | volume=31 | issue=4 | year=2006 | issn=0307-6938 | doi=10.1111/j.1365-2230.2006.02126.x | pages=528–530| pmid=16716155 }}
Causes
It's yet unknown what causes prominent inferior labial artery. Due to factors such as ischemia that raises pulse pressure, the lesion is more common among the elderly, who are more likely to develop ulcers in that area.{{cite journal | last1=Segundo-Jiménez | first1=María del Mar García-San | last2=Puche-Torres | first2=Miguel | last3=Torres-Gaya | first3=Jorge | last4=Marqués-Mateo | first4=Mariano | title=Caliber-persistent Artery: A Case Report | journal=International Journal of Clinical Pediatric Dentistry | publisher=Jaypee Brothers Medical Publishing | volume=12 | issue=5 | year=2019 | issn=0974-7052 | doi=10.5005/jp-journals-10005-1662 | pages=475–477| pmid=32440058 | pmc=7229360 }} Actinic cheilitis, arteriosclerosis, advanced age-related atrophy, and specific drugs are other potential contributing factors.{{cite journal | last1=Costa | first1=Sabrina Araújo Pinho | last2=Ruiz | first2=Marcelo Martinson | last3=Kaba | first3=Shajadi Pardo | last4=Florezi | first4=Giovanna Piacenza | last5=Lemos Júnior | first5=Celso Augusto | last6=Witzel | first6=Andréa Lusvarghi | title=Caliber-Persistent Artery | journal=Case Reports in Dentistry | publisher=Hindawi Limited | volume=2015 | year=2015 | issn=2090-6447 | doi=10.1155/2015/747428 | doi-access=free | pages=1–5}}
Diagnosis
Color Doppler ultrasonography, which has excellent resolution and frequency and offers both morphological and vascular information, is one dependable real-time imaging tool that can be used to diagnose prominent inferior labial artery. In the differential diagnosis of prominent inferior labial artery, vascular lesions such varicose veins, hemangioma, pseudoaneurysm, and vascular malformation,{{cite journal | last1=Gianfranco | first1=Gaimari | last2=Vito | first2=Cantisani | last3=Raffaele | first3=Guerrisi | last4=Gianluca | first4=Tenore | last5=Umberto | first5=Romeo | last6=Eloisa | first6=Fioravanti | title=Color-doppler ultrasound in the diagnosis of oral vascular anomalies | journal=North American Journal of Medical Sciences | publisher=Medknow | volume=6 | issue=1 | year=2014 | issn=1947-2714 | doi=10.4103/1947-2714.125852 | doi-access=free | page=1| pmc=3938866 }} as well as nonvascular lesions like mucocele, irritational fibroma, and sclerosing sialadenitis, can be taken into account.{{cite journal | last=Jaspers | first=Mark T. | title=Oral caliber-persistent artery | journal=Oral Surgery, Oral Medicine, Oral Pathology | publisher=Elsevier BV | volume=74 | issue=5 | year=1992 | issn=0030-4220 | doi=10.1016/0030-4220(92)90357-v | pages=631–633| pmid=1437065 }}
Treatment
See also
References
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Further reading
- {{cite journal | last1=Piccione | first1=Michael J. | last2=Manganaro | first2=Albert M. | last3=Almony | first3=Jeffrey S. | title=Caliber-Persistent Labial Artery: Diagnosis and Treatment—Case Report | journal=Journal of Oral and Maxillofacial Surgery | publisher=Elsevier BV | volume=68 | issue=8 | year=2010 | issn=0278-2391 | doi=10.1016/j.joms.2009.05.433 | pages=1987–1989 | pmid=19954876 | ref=none}}
- {{cite journal | last1=Vazquez | first1=Lydia | last2=Lombardi | first2=Tommaso | last3=Guinand-Mkinsi | first3=Hayat | last4=Samson | first4=Jacky | title=Ultrasonography: A Noninvasive Tool to Diagnose a Caliber-Persistent Labial Artery, an Enlarged Artery of the Lip | journal=Journal of Ultrasound in Medicine | volume=24 | issue=9 | date=2005 | doi=10.7863/jum.2005.24.9.1295 | pages=1295–1301 | pmid=16123190 | ref=none}}
External links
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