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Treatment of cheilitis, symptoms and forms of the disease

The concept of "cheilitis" combines several pathologies with different etiologies and manifestations (see photo). They develop in any age groups, occur in chronic or acute form. Treatment may also vary depending on the causes of cheilitis.

What it is?

Cheilitis is an inflammatory lesion of the red border on the lips. The mucous membrane and adjacent skin are also involved in the pathological process. The disease often takes a long time with periodic exacerbations.

The risk of complications is minimal in young patients - in this case, cheilitis is more favorable and often passes on its own. In the elderly and senile age, degeneration of inflammation into a malignant tumor or the development of leukoplakia (keratinization of tissues) is possible.

Exfoliative cheilitis photo

Exfoliative cheilitis photo

Depending on the causes of the lesion, cheilitis can be either a manifestation of certain diseases or an independent pathology. Common provoking factors are:

  • diseases of the salivary glands;
  • endocrine disorders, often - problems with the thyroid gland;
  • lichen planus;
  • candidiasis due to taking antibiotics or hormones;
  • systemic lupus erythematosus;
  • weather factors;
  • allergy;
  • neurological disorders;
  • genetic predisposition.

All varieties of cheilitis lip disease are grouped into two groups:

  1. True - act as independent pathologies (exfoliative, meteorological, glandular, actinic).
  2. Symptomatic - inflammatory lesions of the rims of the lips, which is one of the symptoms of other diseases (skin, somatic). Examples: atopic, eczematous, contact.


Exfoliative cheilitis

Exfoliative cheilitis

This form affects only the red border of the lips and is chronic. The disease affects women under 40 years old. The exact causes of exfoliative cheilitis have not been established, most experts associate it with disturbances in the nervous system and the thyroid gland.

Trigger may also serve as a decrease in immunity. Symptoms - the absence of lesions on the mucous membrane, in the corners of the mouth and on the skin, localization of inflammation on the rim of one or both lips.

Exfoliative cheilitis is dry and exudative. Symptoms of the dry form:

  • prolonged hyperemia (redness);
  • the formation of dry multi-layered scales grayish tint;
  • dry and peeling lips;
  • the scales flake off easily and reappear after a few days.

This form of exfoliative cheilitis takes a long time, does not disappear on its own and can turn into exudative. The manifestations of the latter are:

  • soreness and burning lips;
  • puffiness;
  • redness;
  • the scales are arranged in solid tape, without affecting the corners of the lips and the area of ​​the rim adjacent to the skin, have a yellowish-gray or yellow-brown shade.

After treatment, exfoliative exudative cheilitis may turn into dry.

Glandular cheilitis

Glandular cheilitis

This variety always affects only the lower lip and occurs due to:

  1. A defect in the development and functioning of the salivary glands or due to diseases of the lips, often caused genetically, is primary glandular cheilitis;
  2. Due to leukoplakia, systemic lupus erythematosus or other diseases - the secondary form.

At the same time, the salivary glands become more active, there is abundant salivation and infection of the tissue. Glandular cheilitis, flowing for a long time, is able to degenerate into cancer, more often it is diagnosed in people after 50 years and in men.

Symptoms of pathology:

  • dilation of the salivary glands;
  • partial or complete keratinization, or leukoplakia, red border;
  • moist, wet lips in the initial stages;
  • dryness, cracking and erosion with the further development of the disease;
  • swelling and sore lips;
  • the appearance of suppurations;
  • dark or greenish yellow crusts.

Atopic cheilitis

Atopic cheilitis

The atopic form of cheilitis on the lips is a manifestation of atopy or neurodermatitis. Often observed in children with a hereditary predisposition to allergies to pollen, certain foods, medicines, dust or other allergens.

Symptoms of atopic type cheilitis:

  • not only the border is affected, but also the corners of the mouth and the skin adjacent to the lips;
  • peeling, the appearance of small scales;
  • with a long course of formation of cracks on the lips;
  • itching and burning;
  • mucosa remains unaffected.

Atopic cheilitis is long, aggravated in the autumn and winter, and subsides in the spring and summer.

Treatment of cheilitis on the lips, drugs

Treatment of cheilitis on the lips, drugs

With exfoliative cheilitis on the lips, the treatment is complex and is selected depending on the form of the pathology. Since dry varieties are often accompanied by neurological disorders, depressive states, sedatives and antidepressants (Fenazepam, Amitriptyline, Relanium) are indicated.

Topical treatment is carried out with the help of drugs with anti-inflammatory, softening and healing effects - Bepanten ointment, Spermacetium cream. You also need to constantly use hygienic lipstick.

To combat the exudative form, radiation is applied by Bucca, after having softened all the crusts with boric acid and removed them. For greater efficiency, the treatment with rays is carried out by courses in combination with the drug Pyrogenal. Reflexology also helps to eliminate inflammation faster.

For the treatment of cheilitis on the lips, ointments are selected exclusively by a specialist, depending on the causes and symptoms. It can be:

  • antibiotics;
  • antiseptics;
  • corticosteroids;
  • antifungal ointment;
  • antihistamine topical preparations;
  • emollient creams;
  • ointment with NSAIDs.

Glandular type cheilitis has a favorable prognosis when treatment is started on time. Otherwise, there is a high risk of developing malignant tumors in the affected areas. For the treatment of glandular cheilitis are prescribed:

  • Anti-inflammatory ointments (naphthalan, with hydrocortisone, prednisolone) or electrocoagulation or surgical removal of the affected salivary glands - with the primary form;
  • Elimination of the underlying disease and anti-inflammatory local therapy - with a secondary form.

Treatment of atopic cheilitis is aimed at combating allergies and eliminating its source. The following methods are used:

  • taking antihistamines - Suprastin, Diazolin and others;
  • corticosteroids topically and orally with a long and complicated course;
  • border rays of Bucca in the absence of the effect of medication;
  • healthy diet with a predominance of natural food without fatty, salty, spicy, spicy dishes and the elimination from the diet of foods that cause allergies - citrus, chocolate, strawberries, coffee.

Auxiliary therapy of cheilitis by folk methods is allowed only with the permission of the attending physician. From home remedies, decoctions and infusions of pharmacy chamomile, medicinal marigold, sage, St. John's wort, and vegetable oil-based ointment are used.

2016-11-30 15:52:21
Tin ... she didn’t know that it could be such a complicated illness ... she always treated her as a seasonal dryness - she smeared it with a few days a couple of days a day and forgot about the problem ...

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