By reading the case of 11years i came up with this idea. I think what he said about constantly removing dead skin makes sense, but for a different reason that he originally thought. So here it goes:
1) Our lips peel faster that normal because of an inmune reaction to a microbe we have there (it could be bacteria, yeast, or most probaly both).
2) The peeling area is the area of our lips that receives more blood. More blood means more food for the microbes. Thats why eating wheat and sugar immediatly makes the peeling worse. We are feeding the microbes.
2) The crusting is dead skin, and it protects the microbes. Thats the reason why putting some antimicrobial or washing our lips dont help much, because the microbe hides beneth and/or among dead skin cells.
3) When you exfoliate your lips (remove dead skin) you are actually removing some microbes too. However, if you let the dead skin build back again for another day, the remaining microbes will have enough time to reproduce and repopulate the area.
So if this is correct, what would be the solution?
To keep removing dead skin as often as possible. Dead skin is our enemy. In short, this is what im gonna try:
1) Use apple/papaya or some cream that softens the dead cells.
2) Remove dead skin with warm water and wash the lips. If possible, i would even recomend applying some antifungal/antibacterial immediatly after this.
3) Wait for 2 to 3 hours, and repeat 1) and 2).
By doing that for 1 to 2 days, we should see some improvement. As an extra help, me might consider taking a lot of calcium during the treatment. Any extra help is welcome.
Im gonna try this next week, if someone wants to try it with me.
As a reference, check out this cases. In both, the patient kept washing the lips with warm water. Maybe we need a little more than warm water though.
http://listserv.buffalo.edu/cgi-bin/wa?A2=ind0502&L=BBOPLIST&P=R8158&...
http://listserv.buffalo.edu/cgi-bin/wa?A2=ind9907&L=BBOPLIST&P=R4633&...
And of course, check out all 11years messages.
I didn't mean to "pick" your lips. When you pick your lips, you also remove part of the good skin, which causes harm. What i meant was to gently remove skin cells that are already dead, thats what the fruit acid is for. It softens the dead cells so that they can be removed without "picking" your lips.
So when you remove dead skin, your are also removing microbes on the surface of the lips, thus preventing them from growing back.
Think about it this way: Our immune system is constantly killing microbes inside the lips, but it cannot reach the microbes on the surface. Thats where microbes are constantly reproducing and sending more microbes in. Now you can try to clean your lips often, but the dead skin protects the microbes.
So we should remove dead skin and clean our lips very often to prevent new microbes from growing on the surface, and let our immune system kill the microbes in the inside. Eventually, there will be less and less microbes in the inside, thus the peeling cycle will be slowing down. Once there are no more microbes, there wont be an imune reaction and our lips will be normal.
Now, some of us have tried to keep the dead skin the longest time possible, and this didnt help at all. So why not try to do the opposite, keep the dead skin the shortest time possible?
Another possible solution that is consistent with my reasoning is to use a combined corticosteroid/antimicrobial. Check out this message:
http://listserv.buffalo.edu/cgi-bin/wa?A2=ind9606&L=bboplist&D=0&...
"We usually prescribe a combined steroid and anti-fungal such as Vytone cream or Lotrisone cream after recommending that the patient discontinue the use of all other topical substances. Once in a while, the exfoliative cheilitis does not respond. Even those cases usually resolve by themselves in a few months."
This doctor has used Vytone cream to cure exfoliative cheilitis (and he says that it usually works!). Vytone contains Iodoquinol (antifungal/antibacterial) and hydrocortisone (corticosteroid). Now think about it, the corticosteroid prevents the scab from building up, thus microbes has no place to hide, so the antimicrobial is able to kill them effectively.
Unfortunately, i cannot get Vytone cream here in Mexico, but I wonder if anyone in this forum has tried it?
I will look for Lotrisone or another similar cream like Vioform-Hydrocortisone if my first method doesn´t work.
Some other messages that talk about it (some of them refer to angular cheilitis, but the reasoning is the same):
http://listserv.acsu.buffalo.edu/cgi-bin/wa?A2=ind9711&L=BBOPLIST&P=R...
http://listserv.acsu.buffalo.edu/cgi-bin/wa?A2=ind9610&L=BBOPLIST&P=R...
http://listserv.acsu.buffalo.edu/cgi-bin/wa?A2=ind9610&L=BBOPLIST&P=R...
http://listserv.acsu.buffalo.edu/cgi-bin/wa?A2=ind9902&L=BBOPLIST&P=R...
It seems that exfoliative cheilitis isn't that rare after all.
Read my messages. A steroid alone would not cure you, because it would only supress the symptom without killing the infection. An antimicrobial alone might not be enough either, because it cannot kill the microbes beneath the dead skin. You need both at the same time. Thats vytone cream. Just one question, have you try it?
No, just use it for a week. If your are going to be cured by that, about one week should be enough.