Lip corner scaling

Introduction Dry desquamation cheilitis: this type of cheilitis occurs in adolescent men and women. The lower lip is more than the upper lip, and there are also two lips. Mainly in the lip red part is diffuse flushing, with dry squama-like scales attached. Desquamation is the main sign, the lips are red and dry, and after a layer of scales falls off, new scales are formed soon. After repeated times, the lip tissue can be thickened or accompanied by cleft palate. The patient is consciously dry, hot and uncomfortable, and often licks his lips. Lip disease is slow and can last for months, even years.

Cause

Since the cause is unknown, the etiology is not well understood. May be related to mental factors, biting lips, lips, etc. In addition, it may be related to light or chemical factors such as inferior lipstick or spicy food.

an examination

First, clinical manifestations

This type of cheilitis occurs in adolescent men and women. The lower lip is more than the upper lip, and there are also two lips. Mainly in the lip red part is diffuse flushing, with dry squama-like scales attached. Desquamation is the main sign, the lips are red and dry, and after a layer of scales falls off, new scales are formed soon. After repeated times, the lip tissue can be thickened or accompanied by cleft palate. The patient is consciously dry, hot and uncomfortable, and often licks his lips. The disease has been slow and can last for months, even years. If the cleft palate is common, it is usually a shallow and shallow sulcus. Even if there is a deep sulcus, it is often one. It is more common in the lateral side of the upper lip. If the patient has a large mouth movement, it may cause bleeding and pain. Exercise, groove cracks are not easy to heal.

Second, diagnosis

According to the performance of the lesion, the symptoms are mainly scaly exfoliation, and the diagnosis is not difficult.

Differential diagnosis

Need to be differentiated from granulomatous cheilitis.

Granulomatous cheilitis

(a) angioedema

Angionautical edema is an acute, temporary, localized, and painless subcutaneous or submucosal edema. Some people think that it is a special type of urticaria, although it is also a sudden onset, but it dissipates rapidly; and granulomatous cheilitis does not.

(b) glandular cheilitis

More common in the lower lip, open the mucous membrane of the lip can touch the miliary or nodular gland, squeezed, there is a dew-like liquid overflow in the catheter mouth. Biopsy is more helpful for diagnosis. The granulomatous cheilitis is characterized by progressive enlargement, thickening, and light and heavy, until persistent enlargement.

(c) sarcoidosis

For systemic granulomatous diseases caused by cellular immunodeficiency, the lips are dark red and swollen, smooth and tough, and painless; cheeks, tendons and jaws can also be affected, often invading the lungs, mediastinum, nearby lymph nodes, Liver and spleen, chest lymph nodes are visible in the chest.

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