This site needs JavaScript to work properly. I have suffered from Exfoliative Cheilitis for 4 years. Avoid licking the lips as saliva evaporates quickly resulting in them being drier than before. Communities > Dermatology > Exfoliative cheilitis. Cheilitis, or "lip inflammation," is a condition that manifests as red, dry, scaling, and itchy lips. 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. J Am Acad Dermatol. It involves constant shedding of the skin of the lips. Actinic cheilitis affects the lips and is characterized by damage to the outer tissue layer. Thick yellow crust on the bilateral upper and lower lips with edematous change, erosions, and tenderness to palpation. Study 931 dermatology flashcards from Bryan C. on StudyBlue. Dr. Antoanella Calame answered. Author information: (1)College of Medicine, Texas A&M. 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. 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. Ask an online dermatologist. Skin biopsy is not necessary or helpful for this diagnosis. Moisturizing and use of lip balms is encouraged but results are varied. Exfoliative cheilitis is an uncommon condition affecting the vermilion zone of the upper, lower or both 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. Lucio phenomenon is a cutaneous vasculitis in patients with lepromatous leprosy and tends to affect people who have not taken their medication regularly. Lugović-Mihić L, Pilipović K, Crnarić I, Šitum M, Duvančić T. Acta Clin Croat. Exfoliative cheilitis is a condition characterized by persistent scaling and flaking of the lip vermilion. April 22, 2020. 2019 May/Jun;23(3):277-281. doi: 10.1177/1203475418825112. Thick brown scales of keratin are peeled off from the site of infection. It affects both sexes equally. It presents as continuous keratinaceous build-up, crusting, and desquamation of the lips, consistent with exfoliative cheilitis. Some health … (2)Department of Pathology and Dermatology, Brooke Army Medical Center, Fort Sam Houston, USA. NIH The mucosal lip and vermillion border are spared. a French dermatologist, in the 19th [1]century. Depression and personality disorders have been reported to be associated with Exfoliative Cheilitis. Figure 1. Arch Dermatol. Dermatology. Clinical and histologic correlation of two separate biopsies plus a negative infectious workup led to the consideration of a factitial etiology. Exfoliative cheilitis is a rare medical condition that results in thick, dry, and flaky skin on the upper, lower, or both lips. Through open and direct communication between the patient and the provider, the appropriate diagnosis was discerned. Please enable it to take advantage of the complete set of features! 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 latter is characterized by a … A Series of 13 Patients From São Paulo, Brazil. Ointment Pseudo-Cheilitis: A Disease Distinct From Factitial Cheilitis. 2018 Jun;57(2):342-351. doi: 10.20471/acc.2018.57.02.16. 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 benign but often cosmetically unsightly condition. Chronic Lip Licking: Exfoliative Cheilitis…. It is only diagnosed when all other forms of cheilitis have been eliminated. exfoliative cheiliti: Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. :277-281. doi: 10.1186/1752-1947-2-29 by rapid and continuous peeling of the lips dermatologist exfoliative cheilitis and. The lower lips with dermatologist exfoliative cheilitis change, erosions, and several other advanced features are unavailable. Of chronic lip Licking click HERE and HERE J Oral Pathol Med 1995 ; 24 177-9. 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