What are the reasons behind peeling inside lips. How can exfoliative cheilitis be diagnosed and treated. What lifestyle factors contribute to lip peeling. Is exfoliative cheilitis linked to any underlying health conditions.

Understanding Exfoliative Cheilitis: The Primary Culprit Behind Peeling Lips

Exfoliative cheilitis is a rare condition characterized by continuous peeling of the lips. This disorder primarily affects the vermilion border, which is the outer part of the lips. While it may seem like a minor inconvenience, exfoliative cheilitis can cause significant discomfort and even impact a person’s quality of life.

Who is most susceptible to exfoliative cheilitis? Research suggests that this condition affects both sexes equally, with a higher prevalence among young adults under 30 years of age. However, it’s important to note that some cases initially diagnosed as exfoliative cheilitis may actually be a localized form of psoriasis, highlighting the importance of accurate diagnosis.

Symptoms of Exfoliative Cheilitis

• Continuous peeling of the lip surface
• Redness or normal appearance before peeling occurs
• Cyclical peeling at different rates across the lip
• Potential bleeding and formation of hemorrhagic crusts
• Pain and difficulty in eating or speaking
• Sensations of tingling, itching, or dryness
• Possible ulceration or fissuring

Can exfoliative cheilitis affect both lips? While it can involve both the upper and lower lips, the condition often shows a preference for the lower lip. In cases where both lips are affected, the lower lip typically experiences more severe symptoms.

Factitial Cheilitis: When Behavior Exacerbates Lip Peeling

Factitial cheilitis is a variant of exfoliative cheilitis that stems from self-inflicted behaviors. This condition often arises from attention-seeking actions or obsessive-compulsive tendencies to pick or chap the lips. Stressful life events can trigger these behaviors, leading to a cycle of lip damage and peeling.

How does factitial cheilitis differ from regular exfoliative cheilitis? The key distinction lies in the underlying cause. While exfoliative cheilitis may have various triggers, factitial cheilitis is specifically linked to behavioral factors. Recognizing this difference is crucial for determining the most effective treatment approach.

Common Behaviors That Worsen Lip Peeling

1. Mouth breathing
2. Lip licking
3. Lip sucking
4. Lip picking
5. Lip biting

Are there any psychological factors associated with factitial cheilitis? Indeed, depression and personality disorders have been frequently reported in connection with this condition. The visible effects of the cheilitis can lead to social avoidance, potentially exacerbating mood disturbances and creating a vicious cycle of psychological distress and physical symptoms.

The Role of Infections in Exacerbating Lip Peeling

While not the primary cause, infections can significantly worsen exfoliative cheilitis. Two common culprits are bacterial infections caused by Staphylococcus aureus and yeast infections due to Candida albicans. These opportunistic pathogens can take advantage of the compromised lip surface, leading to further irritation and peeling.

How can one determine if an infection is contributing to lip peeling? Healthcare providers often perform swab tests to check for the presence of these microorganisms. If detected, targeted treatment with topical or systemic antimicrobials may be necessary to alleviate symptoms and promote healing.

Potential Infectious Agents

• Staphylococcus aureus (bacterial infection)
• Candida albicans (yeast infection)

Does poor oral hygiene play a role in exfoliative cheilitis? Some studies have suggested a link between poor oral hygiene and the development or exacerbation of exfoliative cheilitis. Maintaining good oral health practices may help reduce the risk of complications and improve overall lip condition.

Diagnosing Exfoliative Cheilitis: A Process of Elimination

Diagnosing exfoliative cheilitis can be challenging due to its similarity to other conditions affecting the lips. Healthcare providers typically employ a combination of clinical examination and diagnostic tests to reach an accurate conclusion.

What specific tests are used to diagnose exfoliative cheilitis? The diagnostic process often includes:

• Swab tests for bacterial and fungal cultures
• Biopsy of the affected lip tissue
• Careful psychiatric assessment (especially in cases of suspected factitial cheilitis)

Why is exfoliative cheilitis considered a diagnosis of exclusion? There is no specific diagnostic test for this condition. Healthcare providers must rule out other potential causes of lip peeling before confirming a diagnosis of exfoliative cheilitis. This process ensures that patients receive the most appropriate treatment for their specific condition.

Treatment Approaches for Exfoliative Cheilitis: Challenges and Potential Solutions

Treating exfoliative cheilitis can be challenging, as the condition is often resistant to conventional therapies. The approach to treatment typically involves addressing any underlying factors and managing symptoms to improve quality of life.

What are some common treatments for exfoliative cheilitis? While results can vary, healthcare providers may recommend:

• Topical or systemic treatment for infections
• Keratolytic lip balms
• Sunscreen for lip protection
• Antifungal creams
• Topical or systemic steroids
• Antibiotics
• Vitamin D analogues (e.g., calcipotriol)
• Cryotherapy

Are there any promising alternative treatments for exfoliative cheilitis? Some case reports have shown success with topical tacrolimus and Calendula officinalis (marigold) ointment 10%. However, more research is needed to establish the efficacy of these treatments across a broader patient population.

Addressing Psychological Factors in Treatment

For cases of factitial cheilitis or when psychological factors are contributing to the condition, addressing these underlying issues can be crucial for successful treatment.

How can psychological interventions help in managing exfoliative cheilitis? Treatment of associated mood or anxiety disorders has been reported to improve factitial cheilitis. Obsessive-compulsive disorders, in particular, often respond well to selective serotonin reuptake inhibitors (SSRIs). Integrating psychological support with dermatological treatment can lead to better outcomes for patients struggling with this condition.

Living with Exfoliative Cheilitis: Coping Strategies and Lifestyle Adjustments

While managing exfoliative cheilitis can be challenging, there are several strategies that patients can employ to minimize discomfort and promote healing.

Practical Tips for Managing Lip Peeling

• Avoid lip-licking and other habits that may exacerbate peeling
• Use gentle, fragrance-free lip balms to keep lips moisturized
• Protect lips from sun exposure with SPF-containing products
• Stay hydrated to support overall skin health
• Practice good oral hygiene to reduce the risk of infections
• Consider using a humidifier to prevent dry air from irritating the lips

How can patients cope with the psychological impact of exfoliative cheilitis? The visible nature of this condition can lead to self-consciousness and social anxiety. Seeking support from mental health professionals, joining support groups, and practicing self-care can help individuals manage the emotional aspects of living with exfoliative cheilitis.

Exploring the Connection Between Exfoliative Cheilitis and Other Health Conditions

While exfoliative cheilitis is often considered an isolated condition, research has suggested potential links to other health issues. Understanding these connections can provide valuable insights into the underlying mechanisms of lip peeling and inform more comprehensive treatment approaches.

Is there a link between exfoliative cheilitis and autoimmune disorders? Some studies have explored the possibility of an autoimmune component in certain cases of exfoliative cheilitis. While conclusive evidence is lacking, this avenue of research may open up new treatment possibilities in the future.

Exfoliative Cheilitis and HIV

One notable connection that has been observed is between exfoliative cheilitis and HIV infection. A specific form of the condition has been associated with HIV, although the exact mechanism of this relationship is not fully understood.

How does HIV-associated exfoliative cheilitis differ from other forms? HIV-associated exfoliative cheilitis may present with unique characteristics or severity. Healthcare providers treating patients with HIV should be aware of this potential complication and include it in their differential diagnosis when evaluating lip-related symptoms.

The Future of Exfoliative Cheilitis Research and Treatment

As our understanding of exfoliative cheilitis continues to evolve, researchers and healthcare providers are exploring new avenues for diagnosis and treatment. Advances in dermatology, immunology, and psychology may all contribute to improved outcomes for patients struggling with this challenging condition.

What promising areas of research are emerging for exfoliative cheilitis? Some potential areas of focus include:

• Development of more targeted topical treatments
• Investigation of potential genetic factors
• Exploration of the microbiome’s role in lip health
• Integration of advanced imaging techniques for early diagnosis
• Refinement of psychological interventions for factitial cheilitis

How can patients stay informed about new developments in exfoliative cheilitis treatment? Staying in regular contact with healthcare providers, participating in support groups, and following reputable dermatology organizations can help patients stay up-to-date on the latest research and treatment options for exfoliative cheilitis.

As we continue to unravel the complexities of exfoliative cheilitis, it’s clear that a multidisciplinary approach is essential. By addressing both the physical and psychological aspects of this condition, healthcare providers can offer more comprehensive care to those affected by persistent lip peeling. While challenges remain, ongoing research and improved understanding offer hope for better management strategies and potential breakthroughs in the treatment of exfoliative cheilitis.

Exfoliative cheilitis | DermNet

Author: Dr Delwyn Dyall-Smith FACD, Dermatologist, 2010.

What is cheilitis?

Cheilitis means inflamed lips. There are various causes.

What is exfoliative cheilitis?

Exfoliative cheilitis is a rare reactive condition presenting as continuous peeling of the lips.

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).

Who gets exfoliative cheilitis and why?

Exfoliative cheilitis is rarely reported but appears to affect both sexes equally and mainly affects young adults less than 30 years of age.

Some patients diagnosed with exfoliative cheilitis actually have a localised form of psoriasis.

Factitial cheilitis may be triggered by a stressful event leading to an element of self-damaging behaviour.

Whatever the underlying cause, exfoliative cheilitis can be made worse by:

• Mouth breathing
• Lip licking
• Lip sucking
• Lip picking
• Lip biting
• Bacterial (Staphylococcus aureus) or yeast infection (Candida albicans)

Poor oral hygiene has also been reported in association with exfoliative cheilitis and considered to be a possible predisposing trigger. One form of the condition is associated with HIV infection.

Whatever the cause, excessive keratin formation results in abnormal peeling.

What are the clinical features of exfoliative cheilitis?

Exfoliative cheilitis presents with continuous peeling of the vermilion (outer) part of the lips. It may affect just one lip, usually the lower. The lip may look normal or red before the formation of the thickened surface layer. The peeling appears to be cyclical and proceeds at different rates in different sites, so there is always some part of the lip peeling at any time. There may be associated bleeding resulting in the formation of a haemorrhagic crust. When both lips are involved, the lower lip is usually more affected than the upper.

Exfoliative cheilitis

Exfoliative cheilitis

Exfoliative cheilitis

The condition may be painful, causing difficulty in eating and speaking. Other symptoms reported include sensations of:

• Tingling
• Itch
• Dryness

Ulceration or fissuring may occur.

Depression and personality disorders have been reported commonly in association with factitial exfoliative cheilitis. However, the cheilitis itself can be of such an unpleasant appearance that the patient avoids social situations, contributing to mood disturbance.

The typical course of exfoliative cheilitis is chronic over several years. It may fluctuate, worsening with further stress. Spontaneous improvement has been reported, but it often recurs.

How is exfoliative cheilitis diagnosed?

As exfoliative cheilitis can look similar to other conditions, tests are required to exclude these other conditions and secondary infection.

• Swabs should evaluate for candida and Staphylococcus aureus.
• A biopsy should be done but histopathology may be nonspecific.

Exfoliative cheilitis is a diagnosis of exclusion and there is no specific diagnostic test for it. A careful psychiatric assessment can be especially helpful as treatment of an associated mood or anxiety disorder has been reported to also improve factitial exfoliative cheilitis.

What is the treatment of exfoliative cheilitis?

Infection, if present, should be treated topically or systemically.

Unless a predisposing or associated condition can be identified and treated, exfoliative cheilitis is typically resistant to treatment. Unsuccessful use of keratolytic lip balms, sunscreen, antifungal creams, topical steroids, systemic steroids, antibiotics, vitamin D analogues (calcipotriol) and cryotherapy have been described. There has been one report each of the successful use of topical tacrolimus and Calendula officinalis (marigold) ointment 10%.

Treatment of an associated mood or anxiety disorder has been reported to improve factitial cheilitis. Obsessive-compulsive disorders respond best to selective-serotonin-reuptake inhibitors.

inside mouth skin peeling｜TikTok Search

TikTok

Upload

justflossit

Justflossit

Which toothpaste do you use? #rdh #dentalhygienist #dds #teeth #toothpaste #ingredients #nosls @wearfigs

973 Likes, 50 Comments. TikTok video from Justflossit (@justflossit): “Which toothpaste do you use? #rdh #dentalhygienist #dds #teeth #toothpaste #ingredients #nosls @wearfigs”. CUFF IT – Beyoncé.

72.8K views|

CUFF IT – Beyoncé

energydrinkenjoyer

i like cats 😀

i like cats 😀 (@energydrinkenjoyer)’s videos with use this sound if you like the same gender – dani 🦈 | TikTok

433 Likes, TikTok video from i like cats 😀 (@energydrinkenjoyer). use this sound if you like the same gender – dani 🦈.

9803 views|

use this sound if you like the same gender – dani 🦈

mattheperson

Matt Taylor

Matt Taylor (@mattheperson)’s videos with original sound – DB88 | TikTok

29.1K Likes, 72 Comments. TikTok video from Matt Taylor (@mattheperson). when you finally get the peice of skin peeling in your mouth: original sound – DB88.

131.1K views|

original sound – DB88

shamrockcoochis

hiimjackie

Pls idk how to stop

28.3K Likes, 494 Comments. TikTok video from hiimjackie (@shamrockcoochis): “Pls idk how to stop”. the skin on the inside
of my mouth | shredding the fuq out out of it constantly Sorry it plays twice – 🦥.

158.5K views|

Sorry it plays twice – 🦥

iman_rdh

Iman

It’s happened to me before 🙋🏽‍♀️ #dentaltips #healthtips #toothpaste

983 Likes, TikTok video from Iman (@iman_rdh): “It’s happened to me before 🙋🏽‍♀️ #dentaltips #healthtips #toothpaste”. Why does toothpaste make your mouth peel?🚨 | This is called tissue sloughing | It can be caused by: | . ..DOES TOOTHPASTE MAKE YOUR MOUTH PEEL? 😱 the bob for me – aqyila.

29.7K views|

the bob for me – aqyila

junoschaoticcontent

IfIEatedSoapNoIDidn’t

no bc when I peel off a whole chunk it’s heavenly

83 Likes, TikTok video from IfIEatedSoapNoIDidn’t (@junoschaoticcontent): “no bc when I peel off a whole chunk it’s heavenly”. me eating the skin from the inside of my mouth untill it bleeds Sensational – tha_boys1.

1108 views|

Sensational – tha_boys1

dr.farzan

Dr. Farzan

Lip licker’s dermatitis is a condition where dry, red skin forms along the perimeter of the mouth. Symptoms include cracked and inflamed skin that results in pain and itching.

➡️Use Vaseline and stop licking your lips!!

#drylips #dermatitis #liplickersdermatitis #eczema #eczemalips

12. 5K Likes, 486 Comments. TikTok video from Dr. Farzan (@dr.farzan): “Lip licker’s dermatitis is a condition where dry, red skin forms along the perimeter of the mouth. Symptoms include cracked and inflamed skin that results in pain and itching. ➡️Use Vaseline and stop licking your lips!! #drylips #dermatitis #liplickersdermatitis #eczema #eczemalips”. POV: You lick your lips a lot!Lip licker’s dermatitis sonido original – lyrsae.

715.2K views|

sonido original – lyrsae

yoskingirl

Acne & Skincare

Day 3 of my chemical peel. Skin is very tight. Starting to shed around my mouth area. I am correcting a few breakouts and pigmentation from picking 🫠 #chemicalpeel #chemicalpeeljourney #chemicalpeelprocess #acne #pigmentation

95 Likes, TikTok video from Acne & Skincare (@yoskingirl): “Day 3 of my chemical peel. Skin is very tight. Starting to shed around my mouth area. I am correcting a few breakouts and pigmentation from picking 🫠 #chemicalpeel #chemicalpeeljourney #chemicalpeelprocess #acne #pigmentation”. Chemical peel
Day 3 She Share Story (for Vlog) – 山口夕依.

12.4K views|

She Share Story (for Vlog) – 山口夕依

shebada32

shebada32

shebada32 (@shebada32)’s videos with original sound – shebada32 | TikTok

1.8K Likes, 93 Comments. TikTok video from shebada32 (@shebada32). SKIN Peeling COULD A NEVER STOP MY MOUTH BIG UP PERFECTING UR SMILE original sound – shebada32.

86.2K views|

original sound – shebada32

what it is, symptoms, types and treatment in children and adults

January 26, 2022

Cheilitis is an inflammatory disease of the lips, skin around the lips and lip mucosa. K13.0 Diseases of the lips 011 K13. 03 Cheilitis without additional specifications

• K13.04 Cheilodynia
• K13. 08 Other specified diseases of lips
• K13.09 Disease of the lips, unspecified
• K13.1 Cheek and lip biting

How common is cheilitis

Cheilitis occurs in about 38% of the population, more often in people aged 45 to 64 years. The most common exfoliative cheilitis. Among young people under 34, men are more prone to cheilitis, but older women get sick more often than their male peers. ¹

The structure of the lips

• The visible part of the lips that women wear lipstick is called0005 with a red border
• Under the red border is located the mucous membrane of the lip
• The skin surrounding the lips is called the skin of the lip

Causes of cheilitis

9 0011 adverse weather conditions
• allergies
• vitamin deficiency
• bad habits ( licking and biting lips, the habit of chewing a pen)
• anomaly in the structure of the lips
• emotional and physical overload
• infections

Cheilitis often occurs against the background of diseases of the digestive, endocrine, nervous and immune systems. An important role is played by poor oral hygiene, multiple caries, since in this situation the number of microorganisms in the mouth increases. ² Cheilitis often occurs in children with bronchial asthma, diabetes mellitus. ³

Cheilitis classification

⁴

Cheilitis is divided into:

1. Cheilitis (lips only affected)

• meteorological cheilitis
• contact cheilitis
• exfoliative cheilitis 9 0012
• actinic cheilitis
• glandular cheilitis
• chronic cleft lip

2 Symptomatic cheilitis (lip lesions are a symptom of another disease)

• atopic cheilitis
• eczematous cheilitis
• Rossolimo-Melkersson-Rosenthal syndrome
• Miescher cheilitis
• 9 0081 cheilitis in hypovitaminosis

Also isolated infectious cheilitis .

Symptoms of cheilitis

The main symptoms of cheilitis are:0011 redness

Less commonly: blisters, blood crusts, exudate (fluid discharge).

The severity of symptoms and their presence depends on the type of cheilitis.

More about each type of cheilitis

Cheilitis (only the lips are affected)

Meteorological cheilitis

Most of us have encountered it, it occurs due to weather conditions – wind, cold, high or low air humidity, its dustiness. Men are more likely to get sick, because women usually protect their lips with lipstick or balm, and also because men tend to work more outdoors.

Manifestations : lips bright red, dry, tight and covered with small scales, in simple terms “chapped”. Dryness of the lips leads to their constant licking, which exacerbates the disease.

Contact cheilitis

Caused by an allergy to cosmetics, toothpaste, ointments, crown materials, braces, etc. Often women encounter it when they are allergic to a new lipstick.

Symptoms: dryness, itching, burning, redness, peeling appear at the site of contact with the allergen, bubbles may appear that burst, leaving cracks and erosion (a superficial defect of the skin and mucous membranes). When contact with the allergen is stopped, the disease disappears, spontaneous relapses do not occur.

Exfoliative cheilitis

Is a chronic (ie, lasts for many years) disease that is accompanied by scaling.

Causes: : disorders of the nervous and immune systems, genetic predisposition and psychosomatic disorders (depressive states), young women are predominantly ill. Exacerbations of the disease often occur in the fall, and in the summer the symptoms subside.

It occurs in two forms: dry and exudative (exudate is a liquid released during inflammation).

In dry form the lips are dry, scales form on them, itching and burning are sometimes observed. After about 7 days, the scales are easily removed, leaving a bright red surface without damage in their place. People “bite” the scales, but after a few days they form again.

Exudative form of cheilitis

Lips swollen, painful and bright red, more often only the lower lip is affected. Large yellow or brown crusts appear on the lips. After removing the crusts, a red surface of the lips with milky exudate is found, there are no erosions.

With this form, the process never goes to the corners of the mouth and the skin around the lips. The dry form can become exudative and vice versa.

Actinic cheilitis

Caused by hypersensitivity to sunlight. Men from 20 to 60 years old are more often ill, exacerbations appear in summer and spring. ⁵ The lower lip is more commonly affected than the upper lip, and may rarely be accompanied by facial eczema (a skin disease characterized by inflammation and itching).

There are two forms:

Dry: with this form, the lips become dry, covered with white scales.

Exudative: in this case, the lips are swollen, bright red, bubbles appear, then they burst and crusts, cracks, erosion form.

Important! This cheilitis can lead to complications. Requires urgent treatment and observation.

Glandular cheilitis

Occurs due to the movement of the salivary glands into the lip tissue, their enlargement and strengthening of their function, and a congenital anomaly of the structure can also be the cause. Those. Normally, there are no salivary glands on the red border of the lips, and with this disease they appear. The lower lip suffers twice as often as the upper lip; people aged 40-60 are more likely to get sick. Allocate simple glandular cheilitis and complicated by serous or purulent inflammation .

With simple form there may be no complaints, or there may be roughness and tuberosity of the lips.

Serous inflammation is manifested by swelling and redness, as well as the release of drops of a clear liquid, this is called the “dew symptom”. Due to the constant wetting of the lips with saliva, they peel off, cracks and erosion form. The purulent form occurs due to infection in the salivary glands. The lips are covered with brown or yellow-green crusts, there is pain and enlargement of the lips. Cracks and erosions appear around the salivary glands, and purulent exudate is released from them. May lead to the formation of an abscess (purulent inflammation of the tissues).

If this form exists for a long time, it can turn into a fibrous form , i.e. proliferation of connective tissue occurs, while the salivary glands become clogged, their contents cannot exit, and cavities with fluid – cysts – form inside the lip. With this form, the lips greatly increase in size, their surface becomes bright red and bumpy.

Chronic fissure of the lip

The causes of this disease are not fully known. It is believed that with a chronic crack of the lip, psycho-emotional factors, vascular pathology, bad habits, the structure of the lip with a longitudinal crease, and chronic trauma take place.

Manifestations: solitary, painful deep fissure, usually on the lower lip, may involve the lip mucosa but never extends to the skin. A feature is the constant appearance of a crack in the same place. With prolonged existence, the edges of the crack can become denser, and with improper treatment, complications are possible.

Symptomatic cheilitis

This is a symptom of atopic dermatitis (atopy is a tendency to allergic reactions). It is more common in children and adolescents aged 7 to 18 years, equally common in girls and boys. People suffering from this disease are allergic to many foods and medicines, and close relatives have similar symptoms. As a rule, this disease has a genetic predisposition. In most children, the symptoms disappear over time, in others the disease recurs for life.

The red border is affected, especially the corners of the mouth. The skin around the lips and the mucous membrane of the lips is never affected. Itching appears, the lips become red, slightly painful and slightly swollen, redness, peeling and small cracks also appear in the corners of the mouth, at the same time a small area of ​​the skin around the lips becomes inflamed. When the inflammation subsides, peeling, dryness appears. It can also be accompanied by skin lesions on the elbows, under the knees and on the cheeks.

Eczematous cheilitis

Has a neuro-allergic nature, often accompanied by facial eczema. The disease can have an acute and chronic course. In an acute course of , first itching, swelling of the lips, redness, it becomes difficult to open the mouth, small bubbles filled with liquid appear, which merge with each other, burst and become wet, then straw-yellow crusts appear in their place. The entire red border and a significant area of ​​the skin of the lips are affected. If the action of the allergen continues, the process becomes chronic.

In the chronic course of , the edema is less pronounced, the lips are slightly reddish, peeling, cracks and blood crusts are observed.

Rossolimo-Melkersson-Rosenthal syndrome

This is a chronic disease, its causes are unknown, women are somewhat more often ill. It is manifested by three symptoms:

• paresis (decrease in muscle strength and limitation of mobility) and paralysis (complete lack of movement) of facial muscles
• edematous-folded tongue – macroglossia
• persistent swelling of the lips – macrocheilia ⁶ 9001 2

Cheilitis at a given The syndrome is manifested by edema, reddening of the lips (sometimes with a blue tint), the lips are dry, flaky, and cracks appear. Lip augmentation is asymmetrical. In rare severe cases, there is a shapeless swollen lip that lags behind the teeth, a distortion of the face and a drooping corner of the mouth appear.

Misher’s granulomatous cheilitis

The disease is manifested by severe inflammatory edema of the lips, usually the lower lip, the edema never disappears completely. Subsequently, the lips steadily increase in size, the disease can pass to the cheek.

Cheilitis in case of hypovitaminosis

Vitamin A deficiency dry lips, cracks appear.

With a lack of vitamin B2 , cracks appear in the corners of the mouth, the so-called “jams”, burning and dryness of the lips, then blisters and crusts appear. Rarely, the lip may swell, it becomes shiny with small scales, painful cracks appear and glossitis (inflammatory disease of the tongue) develops.

With a deficiency of B6 , cracks appear in the corners of the mouth, and redness appears on the red border.

With a lack of vitamin PP , the lips are swollen, dry, cracks form, which are covered with blood crusts. The tongue is also affected, it is crimson in color, shiny and smooth.

Infectious cheilitis

More often manifested as angular lesions – jam.

In the case of an infection caused by staphylococci and streptococci, erosions appear, covered with yellow crusts, and the skin around the mouth is often captured. Opening of the mouth is painful, making speech and eating difficult. It is also not uncommon – this is an increase and soreness of the lymph nodes.

Viral cheilitis

Most commonly caused by the herpes simplex virus. The disease begins with redness and itching, then a group of blisters appear on the lip, they burst and form erosions, which then become covered with a crust. At the same time, stomatitis and swollen lymph nodes may appear. Herpes is a chronic infection, so this cheilitis appears again and again. Usually, it reappears with a decrease in immunity (ARVI, influenza, etc.) and stress. The frequency of relapses is individual and depends on the strength of the immune system.

Candidal cheilitis

This is a fungal disease caused by Candida fungus. Characteristic is the presence of white plaque in the oral cavity and a bright red mucosa under it. Lips become red, swollen, dry, covered with gray scales. Possible combination with lesions of the oral mucosa ( stomatitis ) and tongue ( glossitis ). It can also appear in the form of candidal seizures – deep cracks in the corners of the mouth, covered with white plaque and scales, more common in older people. ⁶

Important! With long-term non-healing wounds on the lips or with constant relapses of the disease, you should immediately consult a doctor!

Treatment of cheilitis

Treatment should always be complex and depend on the form of cheilitis.

General treatment:

• Normalization of nutrition, compliance with an allergen, excluding spicy, irritating food
• Vitamin intake, especially, group B and PP (nicotinic acid)
• antibacterial and antiviral drugs – with infectious chemies – with infectious heilites
  Important! These drugs are taken only on prescription!
• Antiallergics
• Sedatives
  Strictly prescribed by the attending physician!

Topical treatment:

• Painkillers (if necessary)
• Antiseptics
• Proteolytic enzymes for clearing erosions
• After inflammation and pain subside, healing ointment and
• Corticosteroid ointments
  Important! They are rarely prescribed and only by a doctor, because they have many side effects
• Physiotherapy
• Surgical treatment

Also, in case of actinic cheilitis, it is necessary to reduce exposure to the sun, it is necessary to use cream and lipstick with SPF.

Treatment of cheilitis is carried out by a dentist, often together with a therapist, a neurologist.

Tantum

^® Verde for the treatment and prevention of cheilitis

An important step in the treatment and prevention of cheilitis is the observance of oral hygiene: removal of tartar and plaque, caries treatment, mouth rinsing and lip treatment with antiseptic solutions. Proper hygiene can reduce the likelihood of recurrences of cheilitis.

For these purposes, as well as to reduce pain and inflammation, the solution and spray Tantum ^® Verde ^16.17 are recommended. The composition of the drug includes the substance Benzydamine, which has anti-inflammatory, antibacterial, antifungal and analgesic effects. ^12,13,14,15

It should be noted that often candidiasis affects both the oral mucosa ( stomatitis ) and lips ( cheilitis ) – in this case, complex treatment with drugs of multidisciplinary action can give a long-term result .

Tantum Spray ^® Verde Forte

Adult Special

more

Tantum Solution ^® Verde

more

Tantum tablets ^® Verde

details

Prevention of cheilitis

Prevention consists of the following items :

• strengthening immunity, maintaining a healthy lifestyle
• using creams, lipsticks with SPF
• using hygienic lipsticks
• good nutrition
• regular visits to the dentist
• competent cleaning of teeth at home, as well as professional removal of dental plaque in the dentist’s chair
• avoidance of contact with allergens
• annual medical examination to identify common diseases

9 0011 treatment of systemic diseases

• taking antibacterial drugs should be carried out exclusively as directed by a doctor and in conjunction with a course of probiotics

1. Can cheilitis be treated surgically?

Yes, some forms require surgical treatment (Mischer’s cheilitis, glandular cheilitis, chronic fissure), but most cheilitis is treated conservatively.

2. How do you know if you are deficient in B vitamins?

Signs of a lack of B vitamins are fatigue, insomnia, muscle pain, dryness of the oral mucosa, seizures, peeling of the skin of the face, brittle nails, fainting, memory problems. The surest way is to take a comprehensive analysis for vitamins.

3. Is cheilitis for life?

There are forms of cheilitis that constantly recur, but even in this case, if the recommendations are followed, extremely rare manifestations can be achieved.

What vitamins are missing if the lips are peeling?

Peeling lips is a problem that causes severe discomfort. Cracks and ulcers appear on dry skin of the lips. This happens for various reasons:

• due to adverse weather conditions – extreme cold or heat,
• allergic reactions to cosmetics and food,
• low air humidity,
• smoking,
• long-term use of antidepressants or other potent drugs,
• weakened immunity.

Also, excessive dryness of the skin can be the result of chronic hypovitaminosis. What vitamins are missing if the lips are peeling? The skin needs the following elements.

• A – promotes skin regeneration, prevents peeling and the appearance of inflammatory elements, stimulates the production of collagen.
• Groups B – improve metabolic processes, prevent the appearance of cracks on the lips, help eliminate seizures in the corners of the mouth.
• E is a strong antioxidant necessary for maintaining youth. Maintains the hydrolipidic balance of the epidermis.
• C – neutralizes the harm of free radicals. Strengthens the immune system, promotes healing of lesions on the skin.

These vitamins must be supplied to the body in sufficient quantities. Only then will they benefit and help get rid of skin peeling.

Knowing which vitamins are missing, if the lips are peeling, hypovitaminosis can be easily eliminated. To prevent a deficiency of valuable elements, it is important to include in the diet:

• liver and other offal,
• vegetables – pumpkin, carrots, sweet peppers, spinach,
• greens – cilantro, parsley, dill,
• fruits – grapes and apples,
• sea ​​buckthorn,
• unrefined vegetable oils,
• pumpkin and sunflower seeds,
• dried fruits and nuts.

With dry, flaky skin, you additionally need to take pharmacy products with vitamins. Biocomplex Lady’s formula For Hair, Skin and Nails™ Strengthened Formula from FarmaMed was created specifically for women and takes into account the needs of the female body in nutrients. The complex has a rich composition.

• Vitamins A, C and E, minerals selenium and iodine, kelp algae extract maintain skin elasticity, protect it from the damaging effects of free radicals.
• Zinc prevents dry and flaky skin.
• L-cysteine ​​stimulates the production of collagen in the body.