Cheilitis: Difference between revisions
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{{Infobox medical condition | |||
| name = Cheilitis | |||
| image = [[File:Chappedlips.jpg|alt=Chapped lips]] | |||
| caption = Chapped lips, a common form of cheilitis | |||
| field = [[Dermatology]] | |||
| synonyms = Lip inflammation | |||
| symptoms = [[Dryness]], [[cracking]], [[peeling]], [[redness]], [[swelling]] | |||
| complications = [[Infection]], [[scarring]] | |||
| onset = Any age | |||
| duration = Varies | |||
| causes = [[Environmental factors]], [[allergic reactions]], [[infections]], [[nutritional deficiencies]] | |||
| risks = [[Cold weather]], [[wind]], [[sun exposure]], [[lip licking]] | |||
| diagnosis = [[Clinical examination]], [[biopsy]] | |||
| differential = [[Herpes labialis]], [[angular cheilitis]], [[actinic cheilitis]] | |||
| treatment = [[Moisturizers]], [[lip balms]], [[topical steroids]], [[antifungal creams]] | |||
| medication = [[Hydrocortisone]], [[antifungal agents]] | |||
| frequency = Common | |||
}} | |||
'''Cheilitis''' is an inflammation of the [[lip]]s, often causing dryness, scaling, and fissures. It can occur on the skin and vermilion border (the line dividing the lip from the skin of the face) of the lips, manifesting as redness, swelling, and potentially soreness.<ref>{{Cite journal |last=Reiter |first=AM |title=The mucocutaneous interface: clinical pearls from the oral mucosa and lips |journal=International Journal of Dermatology |volume=52 |issue=6 |pages=665-674 |year=2013 |doi=10.1111/j.1365-4632.2011.05264.x}}</ref> | '''Cheilitis''' is an inflammation of the [[lip]]s, often causing dryness, scaling, and fissures. It can occur on the skin and vermilion border (the line dividing the lip from the skin of the face) of the lips, manifesting as redness, swelling, and potentially soreness.<ref>{{Cite journal |last=Reiter |first=AM |title=The mucocutaneous interface: clinical pearls from the oral mucosa and lips |journal=International Journal of Dermatology |volume=52 |issue=6 |pages=665-674 |year=2013 |doi=10.1111/j.1365-4632.2011.05264.x}}</ref> | ||
[[File:Chappedlips.jpg|thumb|Chappedlips]] | [[File:Chappedlips.jpg|left|thumb|Chappedlips]] | ||
==Classification== | ==Classification== | ||
Cheilitis can be categorized into several types, including cheilitis simplex, angular cheilitis, cheilitis glandularis, exfoliative cheilitis, actinic cheilitis, plasma cell cheilitis, and cheilitis granulomatosa. Each type is characterized by unique symptoms and may have different underlying causes.<ref>{{Cite book |last=Burge |first=SM |title=Andrews' Diseases of the Skin: Clinical Dermatology |publisher=Saunders Elsevier |location=Philadelphia |year=2006 |isbn=0-7216-2921-0}}</ref> | Cheilitis can be categorized into several types, including cheilitis simplex, angular cheilitis, cheilitis glandularis, exfoliative cheilitis, actinic cheilitis, plasma cell cheilitis, and cheilitis granulomatosa. Each type is characterized by unique symptoms and may have different underlying causes.<ref>{{Cite book |last=Burge |first=SM |title=Andrews' Diseases of the Skin: Clinical Dermatology |publisher=Saunders Elsevier |location=Philadelphia |year=2006 |isbn=0-7216-2921-0}}</ref> | ||
[[File:Actinic Cheilitis Photo.jpg|thumb|Actinic Cheilitis Photo]] | [[File:Actinic Cheilitis Photo.jpg|left|thumb|Actinic Cheilitis Photo]] | ||
==Symptoms== | ==Symptoms== | ||
The most common symptoms of cheilitis include redness, swelling, dryness, and tenderness of the lips. In severe cases, the condition can lead to cracking, bleeding, and formation of painful sores or ulcers.<ref>{{Cite journal |last=Kanwar |first=AJ |title=Cheilitis: an update |journal=International Journal of Dermatology |volume=47 |issue=7 |pages=666-678 |year=2008 |doi=10.1111/j.1365-4632.2008.03706.x}}</ref> | The most common symptoms of cheilitis include redness, swelling, dryness, and tenderness of the lips. In severe cases, the condition can lead to cracking, bleeding, and formation of painful sores or ulcers.<ref>{{Cite journal |last=Kanwar |first=AJ |title=Cheilitis: an update |journal=International Journal of Dermatology |volume=47 |issue=7 |pages=666-678 |year=2008 |doi=10.1111/j.1365-4632.2008.03706.x}}</ref> | ||
==Causes== | ==Causes== | ||
Cheilitis can be caused by a variety of factors, including exposure to environmental irritants (such as wind and sun), contact with allergens, lip-licking habit, certain medications, nutrient deficiencies, infections, and underlying systemic diseases.<ref>{{Cite journal |last=Eisen |first=D |title=The clinical features, malignant potential, and systemic associations of oral lichen planus: a study of 723 patients |journal=Journal of the American Academy of Dermatology |volume=46 |issue=2 |pages=207-214 |year=2002 |doi=10.1067/mjd.2002.120452}}</ref> | Cheilitis can be caused by a variety of factors, including exposure to environmental irritants (such as wind and sun), contact with allergens, lip-licking habit, certain medications, nutrient deficiencies, infections, and underlying systemic diseases.<ref>{{Cite journal |last=Eisen |first=D |title=The clinical features, malignant potential, and systemic associations of oral lichen planus: a study of 723 patients |journal=Journal of the American Academy of Dermatology |volume=46 |issue=2 |pages=207-214 |year=2002 |doi=10.1067/mjd.2002.120452}}</ref> | ||
==Diagnosis== | ==Diagnosis== | ||
Diagnosis of cheilitis is primarily based on the clinical appearance of the lips. The history of symptoms, potential exposure to irritants or allergens, and associated medical conditions are also considered. In some cases, skin patch testing, microbiological tests, or a lip biopsy may be needed to confirm the diagnosis or identify the underlying cause.<ref>{{Cite journal |last=Scully |first=C |title=Oral Medicine | Diagnosis of cheilitis is primarily based on the clinical appearance of the lips. The history of symptoms, potential exposure to irritants or allergens, and associated medical conditions are also considered. In some cases, skin patch testing, microbiological tests, or a lip biopsy may be needed to confirm the diagnosis or identify the underlying cause.<ref>{{Cite journal |last=Scully |first=C |title=Oral Medicine — Update for the dental practitioner Aphthous and other common ulcers |journal=British Dental Journal |volume=201 |issue=5 |pages=269-274 |year=2006 |doi=10.1038/sj.bdj.4814012}}</ref> | ||
==Treatment== | ==Treatment== | ||
Treatment of cheilitis depends on the underlying cause. General measures include avoiding known triggers, applying lip balms or emollients for moisture retention, and maintaining good oral hygiene. Topical steroids or antifungal agents may be prescribed in certain cases. If cheilitis is due to an underlying systemic condition, treating that condition is also crucial. | Treatment of cheilitis depends on the underlying cause. General measures include avoiding known triggers, applying lip balms or emollients for moisture retention, and maintaining good oral hygiene. Topical steroids or antifungal agents may be prescribed in certain cases. If cheilitis is due to an underlying systemic condition, treating that condition is also crucial. | ||
==Prevention== | ==Prevention== | ||
Prevention measures for cheilitis include protection from environmental factors, such as applying a sunscreen lip balm and avoiding excessive exposure to cold and windy conditions. Individuals prone to cheilitis should also avoid irritating substances, such as certain lipsticks or toothpaste ingredients, and maintain good oral hygiene.<ref>{{Cite journal |last=Swift |first=JC |title=How to avoid cheilitis |journal=Journal of the American Academy of Dermatology |volume=36 |issue=3 |pages=500-501 |year=1997 |doi=10.1016/S0190-9622(97)80354-1}}</ref> | Prevention measures for cheilitis include protection from environmental factors, such as applying a sunscreen lip balm and avoiding excessive exposure to cold and windy conditions. Individuals prone to cheilitis should also avoid irritating substances, such as certain lipsticks or toothpaste ingredients, and maintain good oral hygiene.<ref>{{Cite journal |last=Swift |first=JC |title=How to avoid cheilitis |journal=Journal of the American Academy of Dermatology |volume=36 |issue=3 |pages=500-501 |year=1997 |doi=10.1016/S0190-9622(97)80354-1}}</ref> | ||
==Prognosis== | ==Prognosis== | ||
The prognosis for cheilitis largely depends on the underlying cause and the individual's adherence to treatment. With appropriate treatment and avoidance of triggering factors, most forms of cheilitis can be effectively managed. However, recurrence is common, especially if the triggering factors are not completely eliminated or avoided.<ref>{{Cite book |last=Burge |first=SM |title=Andrews' Diseases of the Skin: Clinical Dermatology |publisher=Saunders Elsevier |location=Philadelphia |year=2006 |isbn=0-7216-2921-0}}</ref> | The prognosis for cheilitis largely depends on the underlying cause and the individual's adherence to treatment. With appropriate treatment and avoidance of triggering factors, most forms of cheilitis can be effectively managed. However, recurrence is common, especially if the triggering factors are not completely eliminated or avoided.<ref>{{Cite book |last=Burge |first=SM |title=Andrews' Diseases of the Skin: Clinical Dermatology |publisher=Saunders Elsevier |location=Philadelphia |year=2006 |isbn=0-7216-2921-0}}</ref> | ||
==Complications== | ==Complications== | ||
Untreated or chronic cheilitis can lead to complications, such as secondary bacterial or fungal infections, lip disfigurement, and, in the case of actinic cheilitis, an increased risk of developing squamous cell carcinoma, a type of skin cancer.<ref>{{Cite journal |last=Issa |first=YA |title=Oral cancer awareness and knowledge among dental patients in Riyadh |journal=Journal of Cancer Education |volume=34 |issue=6 |pages=1162-1168 |year=2019 |doi=10.1007/s13187-018-1421-2}}</ref> | Untreated or chronic cheilitis can lead to complications, such as secondary bacterial or fungal infections, lip disfigurement, and, in the case of actinic cheilitis, an increased risk of developing squamous cell carcinoma, a type of skin cancer.<ref>{{Cite journal |last=Issa |first=YA |title=Oral cancer awareness and knowledge among dental patients in Riyadh |journal=Journal of Cancer Education |volume=34 |issue=6 |pages=1162-1168 |year=2019 |doi=10.1007/s13187-018-1421-2}}</ref> | ||
==References== | ==References== | ||
<references /> | <references /> | ||
Latest revision as of 21:27, 4 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Cheilitis | |
|---|---|
| |
| Synonyms | Lip inflammation |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Dryness, cracking, peeling, redness, swelling |
| Complications | Infection, scarring |
| Onset | Any age |
| Duration | Varies |
| Types | N/A |
| Causes | Environmental factors, allergic reactions, infections, nutritional deficiencies |
| Risks | Cold weather, wind, sun exposure, lip licking |
| Diagnosis | Clinical examination, biopsy |
| Differential diagnosis | Herpes labialis, angular cheilitis, actinic cheilitis |
| Prevention | N/A |
| Treatment | Moisturizers, lip balms, topical steroids, antifungal creams |
| Medication | Hydrocortisone, antifungal agents |
| Prognosis | N/A |
| Frequency | Common |
| Deaths | N/A |
Cheilitis is an inflammation of the lips, often causing dryness, scaling, and fissures. It can occur on the skin and vermilion border (the line dividing the lip from the skin of the face) of the lips, manifesting as redness, swelling, and potentially soreness.<ref>Reiter, AM,
The mucocutaneous interface: clinical pearls from the oral mucosa and lips, International Journal of Dermatology, 2013, Vol. 52(Issue: 6), pp. 665-674, DOI: 10.1111/j.1365-4632.2011.05264.x,</ref>
Classification[edit]
Cheilitis can be categorized into several types, including cheilitis simplex, angular cheilitis, cheilitis glandularis, exfoliative cheilitis, actinic cheilitis, plasma cell cheilitis, and cheilitis granulomatosa. Each type is characterized by unique symptoms and may have different underlying causes.<ref>SM,
Andrews' Diseases of the Skin: Clinical Dermatology, Philadelphia:Saunders Elsevier, 2006, ISBN 0-7216-2921-0,</ref>
Symptoms[edit]
The most common symptoms of cheilitis include redness, swelling, dryness, and tenderness of the lips. In severe cases, the condition can lead to cracking, bleeding, and formation of painful sores or ulcers.<ref>Kanwar, AJ,
Cheilitis: an update, International Journal of Dermatology, 2008, Vol. 47(Issue: 7), pp. 666-678, DOI: 10.1111/j.1365-4632.2008.03706.x,</ref>
Causes[edit]
Cheilitis can be caused by a variety of factors, including exposure to environmental irritants (such as wind and sun), contact with allergens, lip-licking habit, certain medications, nutrient deficiencies, infections, and underlying systemic diseases.<ref>Eisen, D,
The clinical features, malignant potential, and systemic associations of oral lichen planus: a study of 723 patients, Journal of the American Academy of Dermatology, 2002, Vol. 46(Issue: 2), pp. 207-214, DOI: 10.1067/mjd.2002.120452,</ref>
Diagnosis[edit]
Diagnosis of cheilitis is primarily based on the clinical appearance of the lips. The history of symptoms, potential exposure to irritants or allergens, and associated medical conditions are also considered. In some cases, skin patch testing, microbiological tests, or a lip biopsy may be needed to confirm the diagnosis or identify the underlying cause.<ref>Scully, C,
Oral Medicine — Update for the dental practitioner Aphthous and other common ulcers, British Dental Journal, 2006, Vol. 201(Issue: 5), pp. 269-274, DOI: 10.1038/sj.bdj.4814012,</ref>
Treatment[edit]
Treatment of cheilitis depends on the underlying cause. General measures include avoiding known triggers, applying lip balms or emollients for moisture retention, and maintaining good oral hygiene. Topical steroids or antifungal agents may be prescribed in certain cases. If cheilitis is due to an underlying systemic condition, treating that condition is also crucial.
Prevention[edit]
Prevention measures for cheilitis include protection from environmental factors, such as applying a sunscreen lip balm and avoiding excessive exposure to cold and windy conditions. Individuals prone to cheilitis should also avoid irritating substances, such as certain lipsticks or toothpaste ingredients, and maintain good oral hygiene.<ref>Swift, JC,
How to avoid cheilitis, Journal of the American Academy of Dermatology, 1997, Vol. 36(Issue: 3), pp. 500-501, DOI: 10.1016/S0190-9622(97)80354-1,</ref>
Prognosis[edit]
The prognosis for cheilitis largely depends on the underlying cause and the individual's adherence to treatment. With appropriate treatment and avoidance of triggering factors, most forms of cheilitis can be effectively managed. However, recurrence is common, especially if the triggering factors are not completely eliminated or avoided.<ref>SM,
Andrews' Diseases of the Skin: Clinical Dermatology, Philadelphia:Saunders Elsevier, 2006, ISBN 0-7216-2921-0,</ref>
Complications[edit]
Untreated or chronic cheilitis can lead to complications, such as secondary bacterial or fungal infections, lip disfigurement, and, in the case of actinic cheilitis, an increased risk of developing squamous cell carcinoma, a type of skin cancer.<ref>Issa, YA,
Oral cancer awareness and knowledge among dental patients in Riyadh, Journal of Cancer Education, 2019, Vol. 34(Issue: 6), pp. 1162-1168, DOI: 10.1007/s13187-018-1421-2,</ref>
References[edit]
<references />
