Dry lip balm

Introduction Chronic cheilitis, also known as exfoliative cheilitis, chronic actinic cheilitis. The mucous membrane of the lips is swollen, dark red, dry, with a wide range of grayish white scaly scales, or splitting, local itching and dryness, burning pain and discomfort. In severe cases, there may be erosions and purulent secretions that may affect the function of the lips (not open after adhesion). Chinese medicine calls it "lip wind", and believes that this disease is caused by wind, fire, poison and evil. Or because of the spicy taste, the spleen and stomach are hot and humid, and the lips are smoldering. Or due to the bloody dry skin caused by blood.

Cause

Modern medicine believes that its incidence is related to cold, dry, sun exposure, alcohol and tobacco stimulation, as well as lips, biting lips, musical instruments and other factors. Chinese medicine calls it "lip wind", and believes that this disease is caused by wind, fire, poison and evil. Or because of the spicy taste, the spleen and stomach are hot and humid, and the lips are smoldering. Or due to the bloody dry skin caused by blood. Also related to erosion, purulent secretions, lip function can not be opened after adhesion, it is best to actively treat after examination.

an examination

1, the disease mostly occurs in the lower lip, but also the upper lip. The disease is long, there is a history of recurrent episodes, and it is often caused by dry seasons in winter and spring.

2, the lips and mucous membranes are swollen, dark red, dry, with a wide range of grayish white scaly scales, or cleft palate, local itching and dryness, burning pain and discomfort. In severe cases, there may be erosions and purulent secretions that may affect the function of the lips (not open after adhesion).

Differential diagnosis

The disease should be identified with the following diseases.

(a) allergic cheilitis

Often have a history of taking medication or other sensitizing substances. Rapid onset, may have local burning and itching, congestion and blistering, swelling and exudation, erosion and pain. Patients often have a history of allergies.

(two) discoid lupus erythematosus

The disc-shaped lupus erythematosus appears as a red rose with a slightly concave center and a slightly convex edge with a disc shape. It can be enlarged to the side of the skin, resulting in an unclear boundary between the lips and the red skin. The skin can be gradually changed from pink to brown, and pigmentation or pigmentation occurs. There is desquamation in the lips, which may have edema and erosion. There may be radial fine white stripes around the lesion. In addition to lip lesions, similar lesions can be found in the cheeks, ankles, tongues, and the like. At the same time, in the exposed part of the ankle, forehead, nose, back of the hand and exposed to the sun, there may also be erythema-like damage.

(3) Lichen planus

The most common lesions in the cheeks are often multiple lesions with symmetry and gray-white keratinized lesions. The lichen planus, which occurs in the lips, is a fine grayish pattern with a ring-like mesh or dendritic stripe. The surface is smooth and there may be pigmentation spots over time. In severe cases, there may be congestion and edema, erosion and exudation and thinness, and generally less blood stasis. Red lips and marginal skin are less affected. Gray markings are still visible around the erosion surface.

(4) pleomorphic erythema

The disease is mostly acute and the course is short. Oral mucosa often has large areas of erythema congestion and erosion. Damage often occurs in pleomorphism and multiple sites, including macules, papules, and bullous vesicles. More often accompanied by skin damage and systemic symptoms. It can cause erythema and erosion in the lips, cheeks, sputum, sputum, etc., and the pain is obvious. Occurred in the lip red: in addition to edema and erosion, often covered with uneven bloody, due to the dry lips affecting the mouth, the lip activity can make blood stasis. The fissure, causing bleeding and crusting.

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