Peripheral facial nerve palsy, recurrent or persistent oral or facial swelling, 
and fissured tongue constitute a triad of symptoms known as Melkersson-Rosenthal 
syndrome. Granulomatous labial enlargement, known as cheilitis granulomatosa, is 
considered the single most important diagnostic feature of this syndrome. This 
lesion has been difficult to treat. This article describes a case of 8 months' 
duration of cheilitis granulomatosa of the lower lip, which was successfully 
managed with intralesional steroid injections.