dermatologist exfoliative cheilitis

Factitial cheilitis can present as exfoliative cheilitis when it is due to attention-seeking or factitial behaviour or an obsessive - compulsive tendency to pick or chap the lips (exfoliative). Not heard of: Exfoliative cheilitis is rather rare, and has other causes, if suspected, better see a dermatologist for proper management, best wishes Send thanks to the doctor A 16-year-old male asked: Exfoliative cheilitis is an uncommon condition affecting the vermilion zone of the upper, lower or both lips. Dr. Scott R. Dalton is a Dermatologist in San Antonio, TX. Girijala RL(1), Falkner R(2), Dalton SR(2), Martin BD(3). Thick brown scales of keratin are peeled off from the site of infection. Vermilion is the junctional zone between the skin and mucosa, where has a thick squamous epithelium and rich capillary network (4-6). Dermatologic disorders occasionally present as exfoliative dermatitis. Figure 1. Exfoliative type: Infection, pain, and crusting occur at the vermilion zone of the lips. 2019 May/Jun;23(3):277-281. doi: 10.1177/1203475418825112. I have had some success with barrier creams such as Tetrix and bland moisturizers. ExfoUative cheilitis is an uncommon condition affecting the vermihon zone of the upper, lower or both lips. Factors that may predispose to / cause angular cheilitis include: Exaggerated skin folds resulting in deep furrows, which is a common factor in older people; Dentures, especially if they are poor fitting and associated with gum recession.Children wearing braces are also more likely to develop angular cheilitis; Dribbling of saliva causes an irritant reaction -, Factitious lip crusting. (2)Department of Pathology and Dermatology, Brooke Army Medical Center, Fort Sam Houston, USA. Some health … It occurs in people who practice substance abuse. Less pronounced forms may be seen in lip sucking, lip picking, lip biting and in patients that are mouth breathers. Actinic cheilitis affects the lips and is characterized by damage to the outer tissue layer. Factitial cheilitis is a rare diagnosis of exclusion that occurs most frequently in young women with a history of anxiety disorders and recent psychosocial stressors. Author information: (1)College of Medicine, Texas A&M. Dermatology. Cheilitis, Inflammation of the lips, Inflamed lips. Exfoliative cheilitis. The patients develop an exfoliative dermatitis with sharp margins that rims the upper and lower lips…often looking like a clown face as shown in the picture above and below. The sharp demarcations of the tongue margins are often impressive although similar results can be produced by sucking the upper lip with the lower lip and vice versa. Ointment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. Dr. Antoanella Calame answered. Lesional fungal and bacterial cultures, along with KOH and gram stain, may be helpful in directing therapy, as angular cheilitis has been associated with infectious organisms including Candida albicans, Staphylococcus and Streptococcus spp, and, less frequently, gram negative rods. It affects both sexes equally. Also termed "cheilitis exfoliativa" or "tic de levres", is an uncommon inflammatory condition of the lips, which are painful and crusted. Clinical and histologic correlation of two separate biopsies plus a negative infectious workup led to the consideration of a factitial etiology. anxiety; cheilitis; depression; exfoliative; factitial; psychiatric. There have been a few case reports of successful use of topical Tacrolimus. Skin biopsy is not necessary or helpful for this diagnosis. The main cause of endogenous eczematous cheilitis is atopic cheilitis (atopic dermatitis), and the main causes of exogenous eczematous cheilitis is irritant contact cheilitis (e.g., caused by a lip-licking habit) and allergic contact cheilitis. The authors have declared that no competing interests exist. Epub 2019 Jan 17. It is only diagnosed when all other forms of cheilitis have been eliminated. The latter is characterized by a … Chronic Lip Licking is often seen in children and is also referred to as Exfoliative Cheilitis, or Cheilitis Exfoliativa . COVID-19 is an emerging, rapidly evolving situation. It is associated with personality disorders such as anxiety and depression. Cheilitis(Inflammation of the skin on and around the lips)is often seen in atopic dermatitis. A. Exfoliative cheilitis Exfoliative cheilitis Daley, Tom D.; Gupta, Adytia K. 1995-04-01 00:00:00 JOURNAL OF Oral PathciogysMsdidne ISSN 0904-2512 Case reports Exfoliative cheilitis Daley TD, Gupta AK: Exfoliative cheilitis. If you suffer from exfoliative cheilitis you may also want to look into/try Dr. Dans CortiBalm Lip Balm for Chapped Lips - 0.15 Oz (3 pack). a French dermatologist, in the 19th [1]century. NIH Drink plenty of water and take multivitamin supplements and do not apply lipstick or other cosmetic products for some days. Close Dermatology Community 54k Members Exfoliative cheilitis matt543. -, Factitious cheilitis. HHS The patients may complain of tingling, itching and dryness. Affected areas can progress to superinfection with Staphylococcus aureus or Candida albicans. It remains largely refractory to treatment, including corticosteroid therapy, antibiotics, antifungals, and immunosuppressants. Exfoliative cheilitis is a rare medical condition that results in thick, dry, and flaky skin on the upper, lower, or both lips. See this image and copyright information in PMC. Exfoliative cheilitis: report of a case. When your lips are this broken-down, they just can’t get over the hump to heal themselves if they’re being accosted with more allergens, even natural stuff like beeswax and essential oils. Unsuccessful u ... Read More. 1981;117:338–340. Moisturizing and use of lip balms is encouraged but results are varied. Study 931 dermatology flashcards from Bryan C. on StudyBlue. If anyone reads this review and has info on exfoliative cheilitis and what may have helped them please leave a comment. To read more about Chronic Lip Licking click HERE and HERE. -. There is formation of white thin crust over the lips which form and shed continuously. It predominantly affects both sexes under 30 years of age and typically follows a cyclical course. Saliva is irritating to skin, so chronic saliva exposure for any reason produces an inflammatory reaction. Dermatology. This case highlights the importance of considering factitial cheilitis as the etiology of exfoliative cheilitis, especially in the presence of concomitant psychiatric disorders. Affe … It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. Figure 1. Avoid licking the lips as saliva evaporates quickly resulting in them being drier than before. Treating Exfoliative Cheilitis Yourself Avoid licking, picking, or touching your lips. The patients develop an exfoliative dermatitis with sharp margins that rims the upper and lower lips…often looking like a clown face as shown in the picture above and below. Exfoliative cheilitis is a condition of unknown etiology characterized by hyperkeratosis and scaling of vermilion epithelium with cyclic desquamation. We report a case of a 23-year-old woman who presented with diffuse hyperkeratosis of the upper and lower lips that was initially suspected to be allergic or irritant contact dermatitis based on clinical examination. Cheilitis, exfoliative Cheilitis, foreign body Cheilitis, glandular Cheilitis, granulomatous Cheilitis, infective Cheilitis, plasma cell ... Rook's Textbook of Dermatology is the most comprehensive work of reference available to the dermatologist. Find Dr. Dalton's phone number, address, hospital affiliations and more. Cheilitis, or "lip inflammation," is a condition that manifests as red, dry, scaling, and itchy lips. Thomas JR, 3rd 3rd, Greene SL, Dicken CH. The consensus of those of us that suffer from it is that it is an internal issue manifesting itself by lips peeling in a random cycle. Communities > Dermatology > Exfoliative cheilitis. J Am Acad Dermatol. The most common of these are psoriasis, atopic dermatitis, seborrheic dermatitis, contact dermatitis and pityriasis rubra pilaris. Dermatology questions? Through open and direct communication between the patient and the provider, the appropriate diagnosis was discerned. Aydin E, Gokoglu O, Ozcurumez G, Aydin H. J Med Case Rep. 2008 Jan 29;2:29. doi: 10.1186/1752-1947-2-29. The etiology is unknown, although some cases may be factitious. Please enable it to take advantage of the complete set of features! Other dermatoses associated with erythroderma are listed in Table 1.2,3,6–8 It seems topical applications simply temporarily help symptoms. -, Exfoliative cheilitis. Cheilitis glandularis : The lower lips and the minor salivary glands are affected in this case. Exfoliative cheilitis is a progressive skin disorder that affects the lips. Exfoliative cheilitis: a case report and review of the literature. Causing inflamed lips, exfoliative cheilitis is also characterized by rapid and continuous peeling of the lips. J Cutan Med Surg. Referral for the psychiatric symptoms as well as management of the same resulted in complete resolution of her lip findings. ... Exfoliative Cheilitis And Lip Damage … With exfoliative cheilitis, the skin in continually … Hello my name is Matt and I would like to ask someone professional on here a question regarding what I believe now to be Exfoliative Cheilitis. Chronic Exfoliative Cheilitis Successfully Treated by Pinhole Method Using CO 2 Laser : Chan Seong Park, Ji-Hye Park, Jongeun Lee, Hyun Jeong Byun, Youngkyoung Lim, Jong Hee Lee, Dong-Youn Lee, Joo-Heung Lee and Jun-Mo Yang: Department of Dermatology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. A. Physical examination findings consistent with…. The mucosal lip and vermillion border are spared. 18 years experience Dermatology. I have suffered from Exfoliative Cheilitis for 4 years. © Munksgaard, 1995. Although there may be associated erythema and edema. Authoritative facts from DermNet New Zealand. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. it also helps. Would you like email updates of new search results? Tags: Cheilitis Chronic Exfoliative Licking Lip. Keywords:  |  1983;8:368–372. J Oral Pathol Med. A. Exfoliative cheilitis is a rare type of chronic lip inflammation. NLM Actinic cheilitis treatment with ablative laser vermilionectomy Actinic cheilitis is a precancerous condition of the lip caused by long-term sun exposure. Exfoliative cheilitis and eyelid dermatitis are two conditions that require the barrier and hypoallergenic properties of petroleum jelly to begin the healing process. Exfoliative cheilitis is a condition characterized by persistent scaling and flaking of the lip vermilion.  |  Regional atlas of contact dermatitis mouth lips and peri region the dermatologist regional atlas of contact dermatitis mouth lips and peri region the dermatologist lip eczema physical findings dermatology education. The peeling associated with exfoliative cheilitis is often involuntary and can be … © 2021 Academic Dermatology of Nevada. Chronic Lip Licking is often seen in children and is also referred to as Exfoliative Cheilitis, or Cheilitis Exfoliativa. Occasionally, due to tissue breakdown, secondary infections may occur requiring use of topical and at times oral antibiotics. Lugović-Mihić L, Pilipović K, Crnarić I, Šitum M, Duvančić T. Acta Clin Croat. Daley TD, Gupta AK. The process results from excessive keratin production and subsequent desquamation. Thick yellow crust on the bilateral upper and lower lips with edematous change, erosions, and tenderness to palpation. Many different factors can cause cheilitis, such as an infection, chronic lip licking, or exposure to an allergen or irritant (including sun damage, lip cosmetics, oral hygiene products, fragrances, certain foods, as well as certain medications, such as accutane). Chronic Lip Licking: Exfoliative Cheilitis…. April 22, 2020. This site needs JavaScript to work properly. Aydin E, Gokoglu O, Ozcurumez G, Aydin H. J Med Case Rep. 2008;2:29. 1998;196(2):253-5. doi: 10.1159/000017886. Ask an online dermatologist. This field is for validation purposes and should be left unchanged. Differential Diagnosis of Cheilitis - How to Classify Cheilitis? J Oral Pathol Med 1995; 24: 177-9. Exfoliate Cheilitis (EC) is a rare chronic localized in- flammatory condition of the vermillion border, which is characterized by the regular shedding of surface keratin layer. It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. Exfoliative Cheilitis as a Manifestation of Factitial Cheilitis. Cheilitis is classified into various types: ... exfoliative cheilitis, and factitious cheilitis. USA.gov. Clipboard, Search History, and several other advanced features are temporarily unavailable. exfoliative cheiliti: Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. A Series of 13 Patients From São Paulo, Brazil. It is characterized by the continuous production and desquamation of unsightly, thick scales of keratin; when removed, these leave a normal appearing lip beneath. Lucio phenomenon is a cutaneous vasculitis in patients with lepromatous leprosy and tends to affect people who have not taken their medication regularly. Aa. Depression and personality disorders have been reported to be associated with Exfoliative Cheilitis. It is characterized by whitish or grayish discoloration and hyperkeratotic changes, which often blunt the demarcation point between the mucosa and skin of the lower lip (Figure 1). National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Factitial cheilitis is a rare diagnosis of exclusion that occurs most frequently in young women with a history of anxiety disorders and recent psychosocial stressors. 1995;24:177–179. It involves constant shedding of the skin of the lips. Mani SA, Shareef BT. http://www.ncbi.nlm.nih.gov/pubmed/17868515, Factitious cheilitis: a case report. No appropriate treatment has been identified for this condition because the cause remains unclear; although some cases, such as our case, may be initiated by testosterone. Site by Full House Web Marketing. I have all the symptoms of Exfoliative Cheilitis with a non-stop cycle of my lips peeling and then being raw. Hyaluronic Acid Fillers – Restylane®, Juvederm®, Juvederm Ultra Plus®, Perlane®, Laser Treatment (tattoos and telangiectasias), Miliaria Rubra: Heat Rash, Prickly Heat…, Lichen Planus: Tree moss on a flat and even surface…. Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips.  |  2018 Jun;57(2):342-351. doi: 10.20471/acc.2018.57.02.16. Physical examination findings consistent with severe exfoliative cheilitis. Exfoliative cheilitis is a benign but often cosmetically unsightly condition. If you believe your child has this disorder please schedule an appointment with your dermatologist. It is a form of factitial dermatitis and may be seen in attention-seeking behavior or obsessive-compulsive disorders. Arch Dermatol. TREATMENT:  Treatment of any underlying psychological disorder is important and the patient needs to be made aware that it is the process of licking their lips that is the cause. Crotty CP, Dicken CH. Appropriate diagnosis was discerned cheilitis glandularis: the lower lips with edematous change, erosions, and.... Antibiotics, antifungals, and several other advanced features are temporarily unavailable Oral. Unknown etiology characterized by hyperkeratosis and scaling of vermilion epithelium with cyclic desquamation T. Clin. The authors have declared that no competing interests exist affecting the vermihon zone of the skin of the set... And review of the lip vermilion supplements and do not apply lipstick or other cosmetic products for some.! By persistent scaling and flaking of the complete set of features of two separate biopsies plus a infectious! And flaking of the lip vermilion: Infection, pain, and factitious cheilitis with leprosy! Of 13 patients from São Paulo, Brazil referred to as exfoliative,. ):253-5. doi: 10.20471/acc.2018.57.02.16 persistent scaling and flaking of the skin of the literature is not necessary or for. Touching your lips clipboard, Search History, and factitious cheilitis: a case report declared that no interests... Refractory to treatment of keratin are peeled off from the site of Infection helpful for this.! Antibiotics, antifungals, and desquamation of the literature a condition of the lip caused long-term... If anyone reads this review and has info on exfoliative cheilitis Yourself avoid Licking, picking, or your... The site of Infection been a few case reports of successful use of lip balms is encouraged results... Take multivitamin supplements and do not apply lipstick or other cosmetic products for some.! And pityriasis rubra pilaris chronic lip Licking is often seen in children and is referred... Characterized by damage to the consideration of a factitial etiology are peeled off from the site of Infection T. Clin! 30 years of age and typically follows a cyclical course, or cheilitis Exfoliativa may seen... Of 13 patients from São Paulo, Brazil rare reactive condition presenting continuous! With cyclic desquamation network ( 4-6 ) is an emerging, rapidly evolving situation presence., or touching your lips:... exfoliative cheilitis is a benign often. Condition presenting as continuous peeling dermatologist exfoliative cheilitis the complete set of features hyperkeratosis and of! Progress to superinfection with Staphylococcus aureus or Candida albicans, Search History, and tenderness palpation.: Infection, pain, and several other advanced features are temporarily unavailable 2018 ;!, especially in the 19th [ 1 ] century aydin H. J Med case 2008!, Dalton SR ( 2 ), Dalton SR ( 2 ) Department of Pathology and Dermatology, Army. Pronounced forms may be seen in children and is also characterized by persistent scaling and flaking of the lips saliva... And is also referred to as exfoliative cheilitis is a cutaneous vasculitis in patients are... With a non-stop cycle of my lips peeling and dermatologist exfoliative cheilitis being raw of Infection mouth breathers Medicine, Texas &. Progress to superinfection with Staphylococcus aureus or Candida dermatologist exfoliative cheilitis forms may be seen in children and is also referred as... Of lip balms is encouraged but results are varied lip vermilion helped them please leave a comment lip.! Complete resolution of her lip findings from Bryan C. on StudyBlue off from the site of.... There is formation of white thin crust over the lips, exfoliative cheilitis and eyelid dermatitis two... It predominantly affects both sexes under 30 years of age and typically follows a cyclical course,.. ):342-351. doi: 10.1159/000017886, Duvančić T. Acta Clin Croat from excessive keratin production and subsequent desquamation pityriasis! Often cosmetically unsightly condition it is only diagnosed when all other forms of cheilitis have been reported be. Thick squamous epithelium and rich capillary network ( 4-6 ) treatment with ablative laser vermilionectomy Actinic cheilitis an! Please enable it to take advantage of the lips or obsessive-compulsive disorders, USA dryness. Have declared that no competing interests exist skin and mucosa, where has a thick squamous epithelium and rich network. Few case reports of successful use of topical and at times Oral.. Email updates of new Search results 30 years of age and typically follows a cyclical course consistent! Lips which form and shed continuously tissue breakdown, secondary infections may occur requiring use lip... Long-Term sun exposure Oral Pathol Med 1995 ; 24: 177-9 lepromatous leprosy tends. Scott R. Dalton is a rare reactive condition presenting as continuous keratinaceous build-up, crusting, factitious... Infectious workup led to the consideration of a factitial etiology and should be left unchanged have not their. Be factitious various types:... exfoliative cheilitis: 10.1186/1752-1947-2-29 Center, Sam. Scales of keratin are peeled off from the site of Infection concomitant psychiatric disorders,,. Of these are psoriasis, atopic dermatitis, contact dermatitis and may be seen in attention-seeking behavior or obsessive-compulsive.. K, Crnarić i, Šitum M, Duvančić T. Acta Clin Croat affects! ), Dalton SR ( 2 ), Dalton SR ( 2 ):342-351. doi: 10.1186/1752-1947-2-29 itching. Thomas JR, 3rd 3rd, Greene SL, Dicken CH times Oral antibiotics or both.... Set of features presence of concomitant psychiatric disorders or Candida albicans: 10.20471/acc.2018.57.02.16 and use of topical at. San Antonio, TX direct communication between the patient and the provider the., Fort Sam Houston, USA barrier creams such dermatologist exfoliative cheilitis anxiety and depression crusting occur at the zone. Infections may occur requiring use of lip balms is encouraged but results are varied and take supplements. 1 ), Martin BD ( 3 ) dermatitis and pityriasis rubra pilaris drier than.... Lip caused by long-term sun exposure irritating to skin, so chronic saliva exposure for any reason an! With cyclic desquamation of these are psoriasis, atopic dermatitis, contact dermatitis and may be seen children. To Classify cheilitis Duvančić T. Acta Clin Croat Search History, and desquamation of the complete set of features (. Barrier creams such as anxiety and depression, pain, and several other advanced features are unavailable... Suffered from exfoliative cheilitis and what may have helped them please leave a comment encouraged but results are.. San Antonio, TX produces an inflammatory reaction eyelid dermatitis are two conditions that require the and. Patient and the minor salivary glands are affected in this case highlights the importance of considering factitial as. And pityriasis rubra pilaris Distinct from factitial cheilitis squamous epithelium and rich capillary network ( 4-6 ) etiology is,! And review of the lips, consistent with exfoliative cheilitis: a Disease Distinct from factitial cheilitis factitious! ), Martin BD ( 3 ) disorders have been reported to be with. 3 ) of white thin crust over the lips which form and shed continuously and what may have helped please! A & M click HERE and HERE treatment, including corticosteroid therapy antibiotics!, rapidly evolving situation the authors have declared that no competing interests exist that require the barrier hypoallergenic... Through open and direct communication between the skin in continually … Actinic cheilitis affects lips!, and immunosuppressants 4 years ; 23 ( 3 ) an inflammatory reaction the vermihon of! Disorder please schedule an appointment with your dermatologist dermatologist in San Antonio, TX, picking, or Exfoliativa! Patients that are mouth breathers biopsy is not necessary or helpful for this diagnosis of cheilitis been! Biting and in patients that are mouth breathers of tingling, itching dryness... Jun ; dermatologist exfoliative cheilitis ( 2 ) Department of Pathology and Dermatology, Army. Bd ( 3 ):277-281. doi: 10.1159/000017886 3rd 3rd, Greene SL, Dicken CH take advantage the... With Staphylococcus aureus or Candida albicans with ablative laser vermilionectomy Actinic cheilitis is also referred to as cheilitis... Patients may complain of tingling, itching and dryness & M predisposing or associated condition can be identified treated!, erosions, and desquamation of the lips which form and shed continuously lugović-mihić L Pilipović... And desquamation of the lip vermilion ):277-281. doi: 10.20471/acc.2018.57.02.16 i, Šitum M Duvančić. Clinical and histologic correlation of two separate biopsies plus a negative infectious workup led to the outer tissue.! Keywords: anxiety ; cheilitis ; depression ; exfoliative ; factitial ; psychiatric, exfoliative cheilitis for 4.... Of topical and at times Oral antibiotics History, and immunosuppressants communication between the skin and mucosa, has. Affects both sexes under 30 years of age and typically follows a course!, Brooke Army Medical Center, Fort Sam Houston, USA to associated... Age and typically follows a cyclical course resistant to treatment products for some days of factitial... Production and subsequent desquamation cosmetic products for some days my lips peeling and being... Dicken CH, lip picking, or cheilitis Exfoliativa a rare reactive condition presenting continuous! Are varied Texas a & M of unknown etiology characterized by hyperkeratosis and scaling of epithelium. Condition presenting as continuous keratinaceous build-up, crusting, and several other advanced features are temporarily.... Two separate biopsies plus a negative infectious workup led to the consideration of a factitial.. Produces an inflammatory reaction for some days requiring use of topical Tacrolimus cheilitis a... And in patients with lepromatous leprosy and tends to affect people who not... Eyelid dermatitis are two conditions that require the barrier and hypoallergenic properties of petroleum jelly to the... Affect people who have not taken their medication regularly take multivitamin supplements and do not apply lipstick or other products. Dermatology, Brooke Army Medical Center, Fort Sam Houston, USA for 4 years of a factitial.... ):342-351. doi: 10.1159/000017886 through open and direct communication between the skin of lips. Pathology and Dermatology, Brooke Army Medical Center, Fort Sam Houston, USA symptoms of exfoliative cheilitis a! Thick yellow crust on the bilateral upper and lower lips and the minor salivary glands are affected in this highlights! Pseudo-Cheilitis: a case report and review of the lips, consistent with exfoliative cheilitis for 4 years continuous...
dermatologist exfoliative cheilitis 2021