Date:   7/27/2012 7:02:09 AM ( 13 y ago)
Hits:   2,657
URL:   https://www.curezone.org/forums/fm.asp?i=1967946

Exfoliative cheilitis is a reactive process, in which upper, lower or both lips become chronically inflamed, crusted, and sometimes fissured. Dryness of the lips is also an important feature and varying degrees of discomfort can be present. Although exfoliative cheilitis may resolve spontaneously, it often appears periodically and can persist for years [1].

Etiology and pathogenesis are unknown, although some cases may be factitious [1-3]. Chronic lip biting, picking, sucking or unconscious licking of the lips may be the underlying mechanism for trauma and scaling [1]. This entity should be distinguished from contact cheilitis, actinic cheilitis, infectious cheilitis glandularis and granulomatous cheilitis, all conditions affecting the vermilion of the lips, but with distinct ethiopathogenicity. Exfoliative cheilitis may be associated with Candida infection in some cases and may be considered another variant of candidiasis in HIV-positive patients [4].

The difficulties of exfoliative cheilitis therapy are a consensus in literature, authors expose these difficulties through limited results achieved in their cases, treated with conventional therapy, as corticosteroid, cheratolitic agents, antibiotics and sunscreen [1,5].

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