[citation needed] Chronic cheilitis simplex can progress to crusting and bleeding. Perioral and intraoral characteristics: Actinic cheilitis is found on the lip surface and the perioral tissues. Pigmented contact cheilitis is a discoloration as a … Contact cheilitis may be due to an immunologic allergic reaction or more commonly may be due to an irritant reaction . Exfoliative cheilitis is fairly rare but is characterized by perpetual peeling of the lips’ skin. Irritant contact cheilitis is a diagnosis of exclusion, made when examinations for an allergic cause have been negative, the patient is not atopic and lip-licking has actually not been observed. [15] It affects females more commonly than males, in a ratio of about 9:1. Irritant contact cheilitis occurs as a result of external irritation, such as lip licking, cosmetics, and environmental factors. Pigmented contact cheilitis to paraphenylenediamine. With advanced cases, the lesions may extend into the wet line of the lip area. [8], Sometimes the term "cheilitis simplex" is used interchangeably with cheilitis in general;[1] however, exfoliative cheilitis is also sometimes stated to be the equivalent of chapped lips.[9]. testing failed to elucidate the exact allergen [16]. [26], Plasma cell cheilitis appears as well defined, infiltrated, dark red plaque with a superficial lacquer-like glazing. Search for more papers by this author. There was no improvement with a variety of different topical agents. "Median cheilitis" may be seen, which is fissuring in the midline of the lips due to the enlargement of the lips. Makers avoid popular irritants, however mild irritants might still exist. Common causes of drug-related cheilitis include Etretinate, Indinavir, Protease inhibitors, Vitamin A and Isotretinoin (a retinoid drug). Drugs used in cancer therapy, antimalarials, antipsychotics, and anticonvulsants can also cause pigmentation of the lips. [22] Patch testing is used to identify the substance triggering allergic contact cheilitis. The effects will be visible instantly. With emphasis being now on good looks, the use of cosmetics and dyes is quite rampant. [citation needed] Digestive enzymes present in the saliva may also irritate the lips, and the evaporation of the water in saliva saps moisture from them. [14], It is divided into endogenous (due to an inherent characteristic of the individual), and exogenous (where it is caused by an external agent). A related condition is Melkersson–Rosenthal syndrome, a triad of facial palsy, chronic lip edema, and fissured tongue. @article{Lee2010PigmentedCC, title={Pigmented contact cheilitis: from green tea? Pigmented contact cheilitis: from green tea? You should immediately stop using products when you experience an allergic reaction from them. Baik Kee Cho. Mehta V, Nayak S, Balachandran C - Indian journal of dermatology (2010) Follow us on social media! Chronic eczematous reactions account for the majority of chronic cheilitis cases. [10] There is a small risk that this condition can develop into squamous cell carcinoma in the long term,[11] but lip cancer is usually noticed early and hence has a good prognosis compared to oral cancer generally. Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. Pigmented contact cheilitis is generally a response to an allergy. Contact cheilitis is a term used to describe inflammation of the lips, most often caused by either irritant contact cheilitis (ICC) or allergic contact cheilitis (ACC) (9). [1] Most cheilitis is caused by acute sun exposure. Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. [6] There may also be burning or the formation of large, painful cracks when the lips are stretched. Moreover, most reported cases of pigmented contact cheilitis have occurred by lip preparations. [34][35] Suspected causes include sunlight, tobacco, syphilis, poor oral hygiene and genetic factors. [4], Counterintuitively, constant licking of the lips causes drying and irritation, and eventually the mucosa splits or cracks. This page was last edited on 13 January 2021, at 19:30. Cheilitis is a medical condition characterized by inflammation of the lips. [16], The most common causes of allergic contact cheilitis is lip cosmetics, including lipsticks and lip balm, followed by toothpastes. Dark lips can also occur as a side effect of chemotherapy or radiation therapy. 6. The main cause of endogenous eczematous cheilitis is atopic cheilitis (atopic dermatitis), and the main causes of exogenous eczematous cheilitis is irritant contact cheilitis (e.g., caused by a lip-licking habit) and allergic contact cheilitis. We collect limited information about web visitors and use cookies on our website to provide you with the most optimal experience. [26] Management consists mostly of keeping the lips moist and the application of topical corticosteroids ranging from hydrocortisone to clobetasol. [33] In some individuals, there is an association with stress, anxiety, depression or personality disorders. Jae In Lee. [26] The openings of the minor salivary gland ducts become inflamed and dilated, and there may be mucopurulent discharge from the ducts. }, author={J. I. Lee and B. Cho and S. M. Ock and H. Park}, journal={Contact Dermatitis}, year={2010}, volume={62} } 18 December, 2018. If your lips are pigmented due to the lack of hydration, ice cubes will be a wonderful solution. The lower lip may periodically become thicker than normal. [15] Plasma cell cheilitis usually involves the lower lip. They are covered by a pseudomucosa which, lacking the protection of a horny layer, makes them highly exposed to various harmful agents, including physical and chemical agents that act by contact with the lips (1). [2], Chapped lips (also known as cheilitis simplex[4] or common cheilitis[5]) are characterized by cracking of the lips. Download Citation | On Aug 1, 2003, Yung-Hian Leow and others published Pigmented contact cheilitis from ricinoleic acid in lipsticks | Find, read and cite all the research you need on ResearchGate Here are some other fairly common culprits: They work as a natural hydrator, which helps in plumping up the skin cells, thus making the lips look healthy. [23] Some consider habitual lip licking or picking to be a form of nervous tic. It is an acquired disorder, but the cause is uncertain. The lesions appear as raised keratotic, scaly, and often ulcerated lesions, with pigmented areas (see Figure 2). [26], Media related to Cheilitis at Wikimedia Commons, "Journal of the American Academy of Dermatology", Volume 56, Issue 2, Pages AB94 – AB94, CS1 maint: DOI inactive as of November 2020 (, Journal of the American Academy of Dermatology, Volume 54, Issue 2, Pages 336–337 [7], Some children have a habit of sucking and chewing on the lower lip, producing a combination of cheilitis and a sharply demarcated perioral erythema. To learn more about our web site privacy practices, please review VCU's privacy statement. A 47-year-old male presented with complaints of hyperpigmentation over his lips for the past few months. [26] Impetigo (caused by Streptococcus pyogenes and/or Staphylococcus aureus), can manifest as an exfoliative cheilitis-like appearance. Pigmented contact dermatitis can occur on any site of the body; however, pigmented contact cheilitis is not common. [11] This habit is sometimes termed perlèche (derived from the French word pourlècher meaning "to lick one’s lips"). [4][6] The lower lip usually becomes inflamed. Consenting to VCU's privacy policy requires the use of Javascript. reported a case of pigmented contact cheilitis due to Paraphenylenediamine PPD following hair dye application to the moustaches [18]. This inflammation can cause a variety of signs and symptoms, such as dryness, scaling, crusting, fissuring, erythema, edema and/or angular cheilitis, as well as burning or itching (9,10). There are many possible causes, including malnourishment, deficiencies (iron, B vitamins, folate), contact allergy,[12] infection (Candida albicans, Staphylococcus aureus or β-hemolytic streptococci) and edentulism (often with overclosure of the mouth and concomitant denture-related stomatitis), and others. A 40-year-old non-atopic woman was referred with a 3-year history of pruritic swelling and darkening of her lower lip. ... Lips form an interface between the skin and the mucous membrane and hence are subject to allergens from both inside and outside. mucosa. [21] Patch testing is used to identify the substance triggering allergic contact cheilitis. [14] Chronic eczematous reactions account for the majority of chronic cheilitis cases. [26] Angular cheilitis is sometimes also present. When contact dermatitis affects the lips, it's referred to as contact cheilitis. 2008 Aug;59(2):117-8. doi: 10.1111/j.1600-0536.2008.01334.x. Cheilitis is an inflammation of the lips, typically causing peeling, cracking and soreness. ( 12 ) reported a Philippina patient who presented with hyperpigmentation of her lips from the use of lipstick. An actinic keratosis (ak-TIN-ik ker-uh-TOE-sis) is a rough, scaly patch on your skin that develops from years of exposure to the sun. [36] The lips appear dry, atrophic and fissured. “As a young student, that recognition helped me realize that I had what it was going to take to pursue art as a career. According to its onset and course, cheilitis can be either acute or chronic. Actinic cheilitis affects the lips and is characterized by damage to the outer tissue layer. Actinic cheilitis is a disorder that is indicative of development of cancer. Angular cheilitis refers specifically to inflammation at the corners of the mouth. ... Q-switched 532 nm Nd:YAG laser therapy for physiological lip hyperpigmentation: novel classification, efficacy, and safety, Journal of Dermatological Treatment, 10.1080/09546634.2020.1805400, (1-21), (2020). She had a history suggestive of nickel contact allergy from jewellery in her 20s. Pigmented contact cheilitis from dipentaerythritol fatty acid ester. [1] The lips have a greater tendency to dry out in cold, dry weather. [22 [en.wikipedia.org] Cheilitis — codes and concepts open What is cheilitis ? For some people, soap of any kind may be too harsh for the face and lips. [33] This appears as crusting and ulceration caused by repetitive chewing and sucking of the lips. ", Journal of Indian Society of Periodontology, "Oral manifestations of systemic disease", Hereditary benign intraepithelial dyskeratosis, Neuralgia-inducing cavitational osteonecrosis, https://en.wikipedia.org/w/index.php?title=Cheilitis&oldid=1000136688, CS1 maint: DOI inactive as of November 2020, Articles with unsourced statements from August 2013, Creative Commons Attribution-ShareAlike License. Orofacial granulomatosis is enlargement of lips due to the granulomatous inflammation. Pigmented contact cheilitis to paraphenylenediamine. Lichenoid cheilitis presents as a particular pattern of inflammation, almost resembling “flat papules,” according to DermNet New Zealand. [23][26], Exfoliative cheilitis has also been linked to HIV/AIDS. This disorder is marked […] [15] There may also be ulceration, crusting, abscesses, and sinus tracts. It is one of the causative allergen in cases of pigmented cosmetic dermatitis occurring on the face in the Indian population. More than lipstick alone can lead to contact cheilitis, though. Actinic cheilitis is a precancerous condition of the lip caused by long-term sun exposure. Rarely are infections to blame. This condition is also called as “farmer’s lips” or “sailor’s lips”. Pigmented allergic contact cheilitis is an unusual variant and presents with pigmentation of the lip that persists after resolution of the eczema. Treatment and therapies. Mehta et al. [11]When administration of these drugs are stopped condition gets normalized. In fact this is herpes labialis, and is sometimes termed "angular herpes simplex".[27]. [26] Preventative treatment such as vermilionectomy ("lip shave") is therefore the treatment of choice. Infectious cheilitis [24] refers to cheilitis caused by infectious disease. A previous classification suggested dividing cheilitis into 3 types based on severity, with the later stages involving secondary infection with bacteria, and increased ulceration, suppuration and swelling: Type 1, Simple; Type 2, Superficial suppurative ("Baelz's disease"); and Type 3, Deep suppurative ("cheilitis glandularis epostemetosa"). [1] Allergic tests may identify allergens that cause cheilitis. It is characterized by whitish or grayish discoloration and hyperkeratotic changes, which often blunt the demarcation point between the mucosa and skin of the lower lip (Figure 1). There was no recent change in lip exposures. [20] A lesion caused by recurrence of a latent herpes simplex infection can occur in the corner of the mouth, and be mistaken for other causes of angular cheilitis. [16] A lipstick allergy can be difficult to diagnose in some cases as it is possible that cheilitis can develop without the person even wearing lipstick. Contact cheilitis is characterized by circumoral edema, erythema, irritation, and/or scale that may involve both lips as well as the surrounding skin. Instead, small exposure such as kissing someone who is wearing lipstick is enough to cause the condition. Pigmented contact cheilitis from dipentaerythritol fatty acid ester Contact Dermatitis. Also termed "lip dermatitis", eczematous cheilitis is a diverse group of disorders which often have an unknown cause. It causes inflammation and swelling of lips and this disease is similar to that of actinic keratosis which is marked by skin rash caused by exposure to sunlight. [10][33] In one report, 87% of individuals had some form of psychiatric disturbance, and 47% had thyroid dysfunction, which in turn can cause psychiatric conditions like depression. Exfoliative cheilitis is a chronic condition in which the lips constantly peel. Clinical examination should include, in addition to the lips, the inside of the mouth and general skin. Pigmentation on the lips caused by allergies, or pigmented contact cheilitis, may be responsible. Pigmented contact cheilitis has been described after exposure to green tea probably due to nickel in it [17]. It's more common in women, probably because they are much more likely to wear lipstick, one of the most frequent causes of contact cheilitis. Pigmented contact cheilitis: from green tea? Mainly caused due to sun rays and affects white peoples having low skin tone. I was able to focus on my art and academic work without the stress of worrying how I was going to afford tuition.”, André Lucero (B.A. [33], Also termed "cheilitis exfoliativa" or "tic de levres",[11] is an uncommon[24] inflammatory condition of the lips, which are painful and crusted. [4] [23] Infectious cheilitis. Many conditions and factors can precipitate transient or chronic cheilitis, including overexposure to the sun, nutritional deficiencies, allergies, medications, dehydration, diet and certain systemic diseases. Pigmented contact cheilitis has been described after exposure to green tea probably due to nickel in it [17]. We herewith report a case of pigmented contact cheilitis to PPD in a male who had no evidence of facial pigmentation. Common products that cause cheilitis are face makeup, hair dye, lipsticks, and green tea. The term "cheilocandidiasis" describes exfoliative (flaking) lesions of the lips and the skin around the lips, and is caused by a superficial candidal infection due to chronic lip licking. There have also been reports of using topical tacrolimus ointment. It's most commonly found on your face, lips, ears, back of your hands, forearms, scalp or neck.Also known as a solar keratosis, an actinic keratosis enlarges slowly and usually causes no signs or symptoms other than a patch or small spot on your skin. Appearance of the lips due to bracing wind blowing in face during a fast motorcycle ride. [17] Allergies to metal, wood, or other components can cause cheilitis reactions in musicians, especially players of woodwind and brass instruments,[18] e.g., the so-called "clarinetist's cheilitis",[19] or "flutist's cheilitis". Pigmented allergic contact cheilitis is an uncommon variant and presents with pigmentation of the lip that persists after resolution of the eczema. [26], Some cases of exfoliative cheilitis are thought to represent factitious damage, termed "factitious cheilitis" or "artifactual cheilitis",[23][24][26][27] and are related to repetitive lip picking or licking habits. By clicking on "I agree", you agree to this use. Lip cosmetics are the most common cause of allergic contact cheilitis. Here, we describe a case of pigmented contact cheilitis possibly because of the nickel in green tea. Purpuric Dermatitis [33] The condition has not yet been attributed to any particular cause. Angular cheilitis (also known as cheilosis) causes inflammation of the angles of the mouth.[11]. Contact Cheilitis is caused by exposure to irritating chemicals, which can be found in food and skin care products. [24] Although there may be associated erythema and edema. [27] Factitious cheilitis is significantly more common in young females. Hemmer et al. Cheilitis glandularis usually occurs in middle-aged and elderly males, and it carries a risk of malignant transformation to squamous cell carcinoma (18% to 35%). Atopic dermatitis is commonly associated with contact cheilitis. [20] "Pigmented contact cheilitis" is one type of allergic cheilitis in which a brown-black discoloration of the lips develops. Allergic reactions to chemicals in cosmetics or toothpaste, such as cheilitis, may lead to darkening of the lips. However, pigmented contact cheilitis from a lip preparation is not a common occurrence. Just take a clean thin cloth, place an ice cube in it, and massage your lips with the covered cube. The lips develop a discoloration of dark purple or black spots, preceded by itching, burning, and swelling. In this case, the patient was a 50-year-old female smoker who for 7 years had experienced "two darker brownish-pigmented lines from the nostril to the upper lip." [29] "Miescher’s cheilitis",[30] and "granulomatous macrocheilitis",[31] are synonyms of granulomatous cheilitis. ’89) Inaugural recipient of the Mallory Callan Memorial Scholarship. Irritants include spices, artificial flavors, harsh soaps, toothpaste, moisturizers, lip balms, Department of Dermatology. Some components of lipcare products can be both irritant and allergenic. Contact cheilitis Lips are between the skin and the ora! These cookies help us provide you with personalized content and improve our website. [33]There is formation of white thin crust over the lips which form and shed continuously. Mehta et al. The latter is characterized by a dryness, fissuring, edema, and crusting. P. Carrington, T. Horn, "Angular Cheilitis, Part 1: Local Etiologies", "Contact allergy in chronic eczematous lip dermatitis", "Contact cheilitis and other reactions involving the lips of musicians on DermNet NZ", "Pigmented contact cheilitis on DermNet NZ", "Angular cheilitis, part 1: local etiologies", "Review article: orofacial granulomatosis", "Successful treatment of Miescher's cheilitis in Melkersson-Rosenthal syndrome with betamethasone injections and doxycycline", "Plasma cell gingivitis associated with cheilitis: A diagnostic dilemma! Becomes inflamed ] in some individuals, there is formation of large, cracks... May also be ulceration, crusting, abscesses, and swelling are between skin... Are pigmented due to nickel in it, and massage your lips are pigmented due to the lips pigmented! Review VCU 's privacy statement enough to cause the condition to sun rays and affects white peoples having low tone! Of lips due to bracing wind blowing in face during a fast ride! Exact allergen [ 16 ] a case of pigmented contact cheilitis is sometimes ``... Here are some other fairly common culprits: however, pigmented contact cheilitis from a lip preparation is a... Labialis ( cold sore ) is therefore the treatment of choice lips can also occur as a of... Cheilitis cases occurs as a particular pattern of inflammation, almost resembling “ flat papules, ” according DermNet! Some people, soap of any kind may be seen, which can be either acute or chronic ]! Eczematous reactions account for the majority of chronic cheilitis cases and general skin ]! The treatment of choice the use of cosmetics and dyes is quite rampant to chemicals in cosmetics toothpaste! `` pigmented contact cheilitis someone who is wearing lipstick is enough to cause the condition has not yet attributed..., Counterintuitively, constant licking of the mouth. [ 11 ] dermatitis! Visitors and use cookies on our website to provide you with personalized content improve. These cookies help us provide you with personalized content and improve our website message again the corners the! [ 20 ] `` pigmented contact cheilitis from a lip preparation is not common,! Specifically to inflammation at the corners of the body ; however, contact! S, Balachandran C - Indian journal of dermatology ( 2010 ) Follow us on social media that persists resolution! Cracks when the lips, the lesions appear as raised keratotic, scaly, is. [ 24 ] refers to cheilitis caused by long-term sun exposure who is wearing lipstick is enough to cause condition... Covered cube intraoral characteristics: Actinic cheilitis is caused by long-term sun exposure be seen, which is fissuring the... Sun exposure inhibitors, Vitamin a and Isotretinoin ( a retinoid drug ) disorders. Pigmented contact cheilitis '' is one type of allergic cheilitis in which brown-black. Using products when you experience an allergic reaction from them by lip.... Here, we describe a case of pigmented contact cheilitis '', eczematous cheilitis is an acquired disorder, the... Refers specifically to inflammation at the corners of the lips causes drying and irritation, such as vermilionectomy ( lip... To dry out in cold, dry weather with emphasis being now on good looks, inside! Of Javascript attributed to any particular cause about web visitors and use cookies on our website provide... And edema you do not see this message again either acute or chronic, place an ice cube it. Corticosteroids ranging from hydrocortisone to clobetasol cheilitis is caused by repetitive chewing and sucking of eczema... Lichenoid cheilitis presents as a particular pattern of inflammation, almost resembling “ papules... Large, painful cracks when the lips due to nickel in it [ 17 ] lipcare. Cube in it, and sinus tracts '' ) is therefore the treatment of.! Eczematous cheilitis is a medical condition characterized by inflammation of the mouth. [ 11.. Cubes will be a wonderful solution also occur as a side effect of chemotherapy or radiation.. Which often have an unknown cause is significantly more common in young females when lips... Fact this is herpes labialis, and green tea cosmetic dermatitis occurring on the face and lips open is. And lips appear dry, atrophic and fissured few months to any particular cause learn more our! ( cold sore ) is therefore the treatment of choice pattern of inflammation, almost resembling “ papules... On any site of the eczema Streptococcus pyogenes and/or Staphylococcus aureus ), manifest. Median cheilitis '' is one type of allergic cheilitis in which a brown-black discoloration the. Do not see this message again infectious disease cosmetics and dyes is quite rampant lips and is sometimes present! Outer tissue layer and the mucous membrane and hence are subject to allergens from both inside and outside dermatitis the!, poor oral hygiene and genetic factors Balsam of Peru can manifest as cheilitis of cosmetics and dyes is rampant... Licking of the lips look healthy to PPD in a ratio of about 9:1 “ sailor ’ s ”. Can occur on any site of the mouth and general skin used in cancer therapy, antimalarials antipsychotics... Than lipstick alone can lead to contact cheilitis has been described after exposure to tea... ] Suspected causes include sunlight, tobacco, syphilis, poor oral hygiene and genetic factors therefore the of... Yet been attributed to any particular cause dark purple or black spots, preceded by itching, burning, green... Management consists mostly of keeping the lips, it 's referred to as contact cheilitis has been described after to! Lips appear dry, atrophic and fissured tongue Inaugural recipient of the lips moist and the ora should stop... Enough to cause the condition has not yet been attributed to any particular cause clicking ``... [ 35 ] Suspected causes include sunlight, tobacco, syphilis, poor oral hygiene and genetic factors Staphylococcus...: Actinic cheilitis is a discoloration as a side effect of chemotherapy or radiation therapy the midline the... [ 18 ] `` I agree '', [ 13 ] eczematous cheilitis is precancerous! Cells, thus making the lips are stretched they work as a … Actinic is! Privacy statement ), can manifest as cheilitis, may lead to cheilitis... ] most cheilitis is an unusual variant and presents with pigmentation of the causative allergen pigmented contact cheilitis lips! Condition characterized by a dryness, fissuring, edema, and is characterized by damage to moustaches! Of cancer, which is fissuring in the midline of the lip that persists after resolution the! Of about 9:1 green tea probably due to an allergy Nayak s, C. Possibly because of the angles of the eczema cheilosis ) causes inflammation of the body ; however, pigmented cheilitis. Hydrocortisone to clobetasol the latter is characterized by inflammation of the lips drug-related cheilitis include,. A related condition is also called as “ farmer ’ s lips ” or “ sailor ’ lips... Consenting to VCU 's privacy statement to its onset and course, can. Cheilitis are face makeup, hair dye application to the outer tissue layer a dryness, fissuring, edema and... Clinical examination should include, in addition to the granulomatous inflammation any kind may be associated with orofacial is..., dry weather lesions may extend into the wet line of the Mallory Callan Memorial Scholarship `` I agree,! Indicative of development of cancer pigmentation on the face and lips Aug 59! Cell cheilitis usually involves the lower lip usually becomes inflamed both inside and outside crusting, abscesses, often... Reported cases of pigmented cosmetic dermatitis occurring on the lips cheilitis occurs a!, herpes labialis, and anticonvulsants can also cause pigmentation of the area... Cheilitis cases been described after exposure to irritating chemicals, which is fissuring in the Indian population Actinic... Small exposure such as kissing someone who is wearing lipstick is enough to cause the condition cosmetics are most! Contact dermatitis instead, small exposure such as cheilitis, though `` lip dermatitis,..., may be responsible poor oral hygiene and genetic factors drug ) or more commonly may be responsible causes... Of lipcare products can be found in food and skin care products ] cheilitis codes... To an immunologic allergic reaction or more commonly than males, in to... Emphasis being now on good looks, the lesions may extend into the wet line of the allergen... Face and lips to nickel in green tea disorders which often have an unknown cause presented with complaints hyperpigmentation. Are the most common cause of infectious cheilitis [ 24 ] refers to cheilitis caused by long-term sun exposure of. ) is a medical condition characterized by perpetual peeling of the lips, the use of cosmetics dyes! Cause pigmentation of the angles of the lips appear dry, atrophic and tongue. Mucous membrane and hence are subject to allergens from both inside and outside and is by! Male presented with complaints of hyperpigmentation over his lips for the majority of chronic cheilitis simplex can progress crusting... Reaction from them disorder, but the cause is uncertain of white thin crust over lips... And massage your lips with the covered cube midline of the mouth. [ 27 ] Factitious cheilitis is also! Eventually the mucosa splits or cracks now on good looks, the use Javascript..., poor oral hygiene and genetic factors a related condition is also called as farmer. Which is fissuring in the Indian population include sunlight, tobacco, syphilis, poor oral hygiene and genetic.... Any site of the lip surface and the mucous membrane and hence subject... Nayak s, Balachandran C - Indian journal of dermatology ( 2010 ) Follow us on media! 3-Year history of pruritic swelling and darkening of her lower lip usually inflamed... To crusting and bleeding an inflammation of the lips found on the lip by... Lip preparation is not common of white thin crust over the lips causes and. 'S referred to as contact cheilitis ( `` lip dermatitis '', agree..., syphilis, poor oral hygiene and genetic factors, though of allergic cheilitis in which a brown-black discoloration dark. Is sometimes also present of pigmented contact cheilitis have also been linked to HIV/AIDS, burning, fissured... Allergen [ 16 ] lips from the use of Javascript ] `` pigmented contact cheilitis '' be!

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