Exciting new EC case study!

This patient's peeling lip cycle was caused by an allergy to Sodium Lauryl Sulfate in her toothpaste, but one could have an allergy to something else to also start the cycle. The point is her lips didn't immediately stop peeling after she switched toothpastes. She needed additional help to get her lips back to a normal cycle. As you read, you will see that she applied hydrogen peroxide mouthwash 1% and glycerin borax on her lips for 1 year for improvement. To make 1% hydrogen peroxide, you add 2 parts water to 1 part 3% hydrogen peroxide.

Glycerin Borax Treatment of Exfoliative Cheilitis Induced by Sodium Lauryl Sulfate: a Case Report.

Abstract

This paper reports on the results of a case study of a 19-year-old female who presented to the Oral Medicine clinic with a chief complaint of scaly and peeling lips. The lesions had persisted on her lips for more than 7 years and were refractory to previous treatment. Her physician's diagnosis was contact dermatitis. We diagnosed this patient as having exfoliative cheilitis (EC). A patch test using the toothpaste containing sodium lauryl sulfate (SLS) was positive and the patient discontinued using it. Instead, she started using a toothpaste not containing SLS. One year after treating her lesions with hydrogen peroxide mouthwash 1% and glycerin borax, a gradual improvement was observed until returning to normal. Glycerin borax was safe, low cost and simple to use in treatment of refractory exfoliative cheilitis. SLS may have been a precipitating factor in EC in this case.

https://www.ncbi.nlm.nih.gov/pubmed/27789914 Tweet