Thomas JR, 3rd 3rd, Greene SL, Dicken CH. Site by Full House Web Marketing. 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. It is associated with personality disorders such as anxiety and depression. 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). Moisturizing and use of lip balms is encouraged but results are varied. Figure 1. Depression and personality disorders have been reported to be associated with Exfoliative Cheilitis. It is only diagnosed when all other forms of cheilitis have been eliminated. Affe … With exfoliative cheilitis, the skin in continually … Lugović-Mihić L, Pilipović K, Crnarić I, Šitum M, Duvančić T. Acta Clin Croat. Tags: Cheilitis Chronic Exfoliative Licking Lip. http://www.ncbi.nlm.nih.gov/pubmed/17868515, Factitious cheilitis: a case report. It predominantly affects both sexes under 30 years of age and typically follows a cyclical course. This site needs JavaScript to work properly. Mani SA, Shareef BT. Find Dr. Dalton's phone number, address, hospital affiliations and more. ExfoUative cheilitis is an uncommon condition affecting the vermihon zone of the upper, lower or both lips. COVID-19 is an emerging, rapidly evolving situation. NLM (2)Department of Pathology and Dermatology, Brooke Army Medical Center, Fort Sam Houston, USA. Clinical and histologic correlation of two separate biopsies plus a negative infectious workup led to the consideration of a factitial etiology. 2019 May/Jun;23(3):277-281. doi: 10.1177/1203475418825112. exfoliative cheiliti: Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips. USA.gov. Cheilitis is classified into various types: ... exfoliative cheilitis, and factitious cheilitis. Ask an online dermatologist. I have suffered from Exfoliative Cheilitis for 4 years. Avoid licking the lips as saliva evaporates quickly resulting in them being drier than before.  |  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). Cheilitis, Inflammation of the lips, Inflamed lips. Physical examination findings consistent with severe exfoliative cheilitis. 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. A. Affected areas can progress to superinfection with Staphylococcus aureus or Candida albicans. It involves constant shedding of the skin of the lips. Cheilitis(Inflammation of the skin on and around the lips)is often seen in atopic dermatitis. 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. -, Exfoliative cheilitis. 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. Exfoliative cheilitis is a benign but often cosmetically unsightly condition. 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. 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. Communities > Dermatology > Exfoliative cheilitis. It is characterized by the continuous production and desquamation of unsightly, thick scales of keratin; when removed, these leave a normal appearing lip beneath. Exfoliative cheilitis: a case report and review of the literature. -, Factitious cheilitis. NIH 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). anxiety; cheilitis; depression; exfoliative; factitial; psychiatric. The process results from excessive keratin production and subsequent desquamation. April 22, 2020. Close Dermatology Community 54k Members Exfoliative cheilitis matt543. 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. 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. Epub 2019 Jan 17. Unsuccessful u ... Read More. There have been a few case reports of successful use of topical Tacrolimus. 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. A. HHS 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/. 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. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. I have all the symptoms of Exfoliative Cheilitis with a non-stop cycle of my lips peeling and then being raw. Vermilion is the junctional zone between the skin and mucosa, where has a thick squamous epithelium and rich capillary network (4-6). Lucio phenomenon is a cutaneous vasculitis in patients with lepromatous leprosy and tends to affect people who have not taken their medication regularly. Dermatology. Exfoliative Cheilitis as a Manifestation of Factitial Cheilitis. 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. It remains largely refractory to treatment, including corticosteroid therapy, antibiotics, antifungals, and immunosuppressants. See this image and copyright information in PMC. 18 years experience Dermatology. 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). Figure 1. Cheilitis glandularis : The lower lips and the minor salivary glands are affected in this case. Actinic cheilitis affects the lips and is characterized by damage to the outer tissue layer. 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: Dr. Scott R. Dalton is a Dermatologist in San Antonio, TX. J Oral Pathol Med. 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. a French dermatologist, in the 19th [1]century. Aa. Study 931 dermatology flashcards from Bryan C. on StudyBlue. Although there may be associated erythema and edema. ... Exfoliative Cheilitis And Lip Damage … Girijala RL(1), Falkner R(2), Dalton SR(2), Martin BD(3). Exfoliative cheilitis. 1998;196(2):253-5. doi: 10.1159/000017886. -. It occurs in people who practice substance abuse. Dermatologic disorders occasionally present as exfoliative dermatitis. 1983;8:368–372. Physical examination findings consistent with…. Keywords: It is a form of factitial dermatitis and may be seen in attention-seeking behavior or obsessive-compulsive disorders. J Oral Pathol Med 1995; 24: 177-9. It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. Occasionally, due to tissue breakdown, secondary infections may occur requiring use of topical and at times oral antibiotics. Differential Diagnosis of Cheilitis - How to Classify Cheilitis? Exfoliative cheilitis and eyelid dermatitis are two conditions that require the barrier and hypoallergenic properties of petroleum jelly to begin the healing process. Some health … 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 The etiology is unknown, although some cases may be factitious. 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. Would you like email updates of new search results? Daley TD, Gupta AK. Thick brown scales of keratin are peeled off from the site of infection. Ointment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. Dermatology. Thick yellow crust on the bilateral upper and lower lips with edematous change, erosions, and tenderness to palpation. Chronic Lip Licking is often seen in children and is also referred to as Exfoliative Cheilitis, or Cheilitis Exfoliativa. Exfoliative cheilitis: report of a case. Chronic Lip Licking is often seen in children and is also referred to as Exfoliative Cheilitis, or Cheilitis Exfoliativa .  |  Other dermatoses associated with erythroderma are listed in Table 1.2,3,6–8 Treating Exfoliative Cheilitis Yourself Avoid licking, picking, or touching your lips. Exfoliative cheilitis is a progressive skin disorder that affects the lips. A. Arch Dermatol. 1981;117:338–340. Less pronounced forms may be seen in lip sucking, lip picking, lip biting and in patients that are mouth breathers. Exfoliative cheilitis is a rare type of chronic lip inflammation. 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. -, Factitious lip crusting. Skin biopsy is not necessary or helpful for this diagnosis. 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. This field is for validation purposes and should be left unchanged. Also termed "cheilitis exfoliativa" or "tic de levres", is an uncommon inflammatory condition of the lips, which are painful and crusted. 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. Exfoliative cheilitis is a condition characterized by persistent scaling and flaking of the lip vermilion. Aydin E, Gokoglu O, Ozcurumez G, Aydin H. J Med Case Rep. 2008 Jan 29;2:29. doi: 10.1186/1752-1947-2-29. Actinic cheilitis treatment with ablative laser vermilionectomy Actinic cheilitis is a precancerous condition of the lip caused by long-term sun exposure. © 2021 Academic Dermatology of Nevada. Crotty CP, Dicken CH. 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…. Referral for the psychiatric symptoms as well as management of the same resulted in complete resolution of her lip findings. It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. The most common of these are psoriasis, atopic dermatitis, seborrheic dermatitis, contact dermatitis and pityriasis rubra pilaris. J Cutan Med Surg. 2018 Jun;57(2):342-351. doi: 10.20471/acc.2018.57.02.16. Cheilitis, or "lip inflammation," is a condition that manifests as red, dry, scaling, and itchy lips. J Am Acad Dermatol. The patients may complain of tingling, itching and dryness. It seems topical applications simply temporarily help symptoms. Exfoliative cheilitis is an uncommon condition affecting the vermilion zone of the upper, lower or both lips. The latter is characterized by a … Dermatology questions? Authoritative facts from DermNet New Zealand. Causing inflamed lips, exfoliative cheilitis is also characterized by rapid and continuous peeling of the lips. The mucosal lip and vermillion border are spared. 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. Chronic Lip Licking: Exfoliative Cheilitis…. Exfoliative cheilitis is a rare medical condition that results in thick, dry, and flaky skin on the upper, lower, or both lips. There is formation of white thin crust over the lips which form and shed continuously. Please enable it to take advantage of the complete set of features! Exfoliative cheilitis is a condition of unknown etiology characterized by hyperkeratosis and scaling of vermilion epithelium with cyclic desquamation. Saliva is irritating to skin, so chronic saliva exposure for any reason produces an inflammatory reaction. To read more about Chronic Lip Licking click HERE and HERE. Author information: (1)College of Medicine, Texas A&M. If anyone reads this review and has info on exfoliative cheilitis and what may have helped them please leave a comment. Drink plenty of water and take multivitamin supplements and do not apply lipstick or other cosmetic products for some days. It affects both sexes equally. Exfoliative type: Infection, pain, and crusting occur at the vermilion zone of the lips.  |  Clipboard, Search History, and several other advanced features are temporarily unavailable. 1995;24:177–179. If you believe your child has this disorder please schedule an appointment with your dermatologist. This case highlights the importance of considering factitial cheilitis as the etiology of exfoliative cheilitis, especially in the presence of concomitant psychiatric disorders. © Munksgaard, 1995. I have had some success with barrier creams such as Tetrix and bland moisturizers. A Series of 13 Patients From São Paulo, Brazil. The authors have declared that no competing interests exist. The peeling associated with exfoliative cheilitis is often involuntary and can be … Aydin E, Gokoglu O, Ozcurumez G, Aydin H. J Med Case Rep. 2008;2:29. it also helps. Through open and direct communication between the patient and the provider, the appropriate diagnosis was discerned. Dr. Antoanella Calame answered. Continuous peeling of the lips etiology is unknown, although some cases may be seen in children and characterized! To take advantage of the lip vermilion as anxiety and depression the 19th [ 1 ].. 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The site of Infection clinical and histologic correlation of two separate biopsies plus a negative infectious led! Pilipović K, Crnarić i, Šitum M, Duvančić T. Acta Clin Croat is classified into types! Including corticosteroid therapy, antibiotics, antifungals, and crusting occur at the vermilion zone of the lip vermilion and. The complete set of features and subsequent desquamation evaporates quickly resulting in them being than. Of Medicine, Texas a & M the site of Infection this review and has info on exfoliative cheilitis a! Begin the healing process, Brooke Army Medical Center, Fort Sam Houston, USA attention-seeking behavior or obsessive-compulsive.... Lip inflammation scaling and flaking of the complete set of features less pronounced forms may seen... Can be identified and treated, exfoliative cheilitis is a dermatologist in San Antonio, TX etiology of exfoliative is!, dermatologist exfoliative cheilitis O, Ozcurumez G, aydin H. J Med case 2008!