We report a case of cheilitis granulomatosa of the upper lip associate
d with focal, odontogenic infection, nickel and cobalt hypersensitivit
y, and IgD lambda monoclonal protein in a 58-year-old woman, The lip s
welling resolved almost completely within about six months under treat
ment with indomethacin, 100 mg a day. Further examination revealed tha
t she had asymptomatic IgD myeloma.